Healthcare Provider Details

I. General information

NPI: 1407283468
Provider Name (Legal Business Name): PROFESSIONAL URGENT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 TYRONE BLVD N
ST PETERSBURG FL
33710-7126
US

IV. Provider business mailing address

640 TYRONE BLVD N
ST PETERSBURG FL
33710-7126
US

V. Phone/Fax

Practice location:
  • Phone: 727-528-7827
  • Fax: 727-528-7337
Mailing address:
  • Phone: 727-528-7827
  • Fax: 727-528-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME80430
License Number StateFL

VIII. Authorized Official

Name: SHITAL-HITEN UPADHYAY
Title or Position: MANAGER
Credential: MD
Phone: 727-528-7827