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General NPI Number Information
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NPI Number | 1326541897
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Entity Type | Organization
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Legal Business Name | URGENT FAMILY CLINIC, LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 11601 S ORANGE BLOSSOM TRL STE 101
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City | ORLANDO
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State | FL
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Zip | 32837-9437
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Country | US
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Telephone | 407-271-4605
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Fax | 407-271-4740
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Provider Business Mailing Address
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Address Line | 11601 S ORANGE BLOSSOM TRL STE 101
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City | ORLANDO
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State | FL
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Zip | 32837-9437
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Country | US
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Telephone | 407-271-4605
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Fax | 407-271-4740
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Authorized Official
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Title or Position | MANAGER
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Name | GERARDO MENA
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Credential |
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Telephone | 407-915-2718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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