Healthcare Provider Details

I. General information

NPI: 1588983837
Provider Name (Legal Business Name): PREMIER URGENT CARE OF THE VILLAGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 SANTA BARBARA BLVD STE 3
THE VILLAGES FL
32159-6827
US

IV. Provider business mailing address

1580 SANTA BARBARA BLVD STE 3
THE VILLAGES FL
32159-6827
US

V. Phone/Fax

Practice location:
  • Phone: 352-259-2159
  • Fax: 352-674-4387
Mailing address:
  • Phone: 352-259-2159
  • Fax: 352-674-4378

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: CYNTHIA ROMSKA
Title or Position: ADMIN ASSIS/CREDENTIALING SPEC
Credential:
Phone: 352-502-6393