Healthcare Provider Details

I. General information

NPI: 1205608569
Provider Name (Legal Business Name): URGENT CARE CURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SILVER FOREST DR STE 104
SAINT AUGUSTINE FL
32092-3836
US

IV. Provider business mailing address

10870 US ONE N UNIT 104
PONTE VEDRA FL
32081-7804
US

V. Phone/Fax

Practice location:
  • Phone: 904-438-2720
  • Fax: 904-212-1711
Mailing address:
  • Phone: 904-438-2720
  • Fax: 904-212-1711

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: DR. ALEXEI MIKHAILOVICH PRYTKOV
Title or Position: BUSINESS OWNER AND MEDICAL DIRECTOR
Credential: MD, PHD
Phone: 405-863-0781