Healthcare Provider Details

I. General information

NPI: 1154563120
Provider Name (Legal Business Name): FMC URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38021 MARKET SQ
ZEPHYRHILLS FL
33542-7508
US

IV. Provider business mailing address

38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-715-0374
  • Fax: 813-355-5090
Mailing address:
  • Phone: 813-528-4975
  • Fax: 813-355-5084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOE DELATORRE
Title or Position: CEO
Credential:
Phone: 813-780-8440