Healthcare Provider Details

I. General information

NPI: 1104861251
Provider Name (Legal Business Name): QUICKCLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 COPLEY RD
AKRON OH
44320-2653
US

IV. Provider business mailing address

2009 SMITH RD 350
AKRON OH
44313-5015
US

V. Phone/Fax

Practice location:
  • Phone: 330-873-1505
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. RONALD V BUCCI
Title or Position: PRESIDENT
Credential:
Phone: 33066500010