Healthcare Provider Details

I. General information

NPI: 1962337121
Provider Name (Legal Business Name): PREMIER CARDIAC URGENT CARE OF WESLEY CHAPEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2479 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9213
US

IV. Provider business mailing address

38035 MEDICAL CENTER AVE
ZEPHYRHILLS FL
33540-1384
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-1400
  • Fax:
Mailing address:
  • Phone: 813-788-1400
  • Fax:

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: KETUL CHAUHAN
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 863-529-2322