Healthcare Provider Details

I. General information

NPI: 1255285003
Provider Name (Legal Business Name): MECNB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 S NOVA RD
ORMOND BEACH FL
32174-6115
US

IV. Provider business mailing address

6515 S KANNER HWY
STUART FL
34997-6330
US

V. Phone/Fax

Practice location:
  • Phone: 386-673-9949
  • Fax: 683-673-9952
Mailing address:
  • Phone: 772-463-1123
  • Fax: 772-463-3072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 917-813-8399