Healthcare Provider Details

I. General information

NPI: 1245195684
Provider Name (Legal Business Name): PROFESSIONAL URGENT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6182 GUNN HWY
TAMPA FL
33625-4014
US

IV. Provider business mailing address

640 TYRONE BLVD N
SAINT PETERSBURG FL
33710-7126
US

V. Phone/Fax

Practice location:
  • Phone: 813-568-4388
  • Fax: 813-908-0127
Mailing address:
  • Phone: 727-528-7827
  • Fax: 727-235-0063

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: SHITAL-HITEN JITENDRA UPADHYAY
Title or Position: CEO / MEDICAL DIRECTOR
Credential: MD
Phone: 727-528-7827