Healthcare Provider Details

I. General information

NPI: 1093722761
Provider Name (Legal Business Name): URGENT CARE USA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 N ALEXANDER ST
PLANT CITY FL
33563-4305
US

IV. Provider business mailing address

P.O. BOX 570
LITHIA FL
33547-0570
US

V. Phone/Fax

Practice location:
  • Phone: 813-752-7222
  • Fax: 813-681-2611
Mailing address:
  • Phone: 813-752-7222
  • Fax: 813-681-2611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME 62902
License Number StateFL

VIII. Authorized Official

Name: MR. MICHAEL SALVATO
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 813-752-7222