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General NPI Number Information
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NPI Number | 1093722761
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Entity Type | Organization
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Legal Business Name | URGENT CARE USA LLC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 413 N ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-4305
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Country | US
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Telephone | 813-752-7222
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Fax | 813-681-2611
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Provider Business Mailing Address
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Address Line | P.O. BOX 570
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City | LITHIA
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State | FL
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Zip | 33547-0570
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Country | US
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Telephone | 813-752-7222
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Fax | 813-681-2611
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. MICHAEL SALVATO
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Credential |
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Telephone | 813-752-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME 62902
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License Number State | FL
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