Healthcare Provider Details

I. General information

NPI: 1477014744
Provider Name (Legal Business Name): PARAMOUNT URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5845 WINTER GARDEN VINELAND RD STE 120
WINDERMERE FL
34786-6124
US

IV. Provider business mailing address

805 EAST CR 466
LADY LAKE FL
32159-4205
US

V. Phone/Fax

Practice location:
  • Phone: 407-203-1682
  • Fax: 407-203-1737
Mailing address:
  • Phone: 352-674-9218
  • Fax: 352-259-6069

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: ADRIAN EASTERLING
Title or Position: CO-OWNER
Credential:
Phone: 352-674-9218