Healthcare Provider Details

I. General information

NPI: 1033247614
Provider Name (Legal Business Name): URGI-KIDS OF FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7217 GREEN SLOPE DR
ZEPHYRHILLS FL
33541-1306
US

IV. Provider business mailing address

PO BOX 24417
TAMPA FL
33623-4417
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-0878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME53193
License Number StateFL

VIII. Authorized Official

Name: ALICIA FERNANDEZ-GARCIA
Title or Position: OWNER - PROVIDER
Credential: MD
Phone: 813-788-0878