Healthcare Provider Details

I. General information

NPI: 1720314438
Provider Name (Legal Business Name): HEALTH FIRST QUICKCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2009
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 S HICKORY ST SUITE 103
MELBOURNE FL
32901-3224
US

IV. Provider business mailing address

PO BOX 560858
ROCKLEDGE FL
32958-0858
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-1735
  • Fax: 321-434-1796
Mailing address:
  • Phone: 321-434-4600
  • Fax: 321-434-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FELKNER
Title or Position: EXECUTIVE VP/CFO
Credential:
Phone: 321-434-5687