=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427994441
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAPID RELIEF URGENT CARE 002 LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2026
-----------------------------------------------------
Last Update Date | 04/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 38008 NORTH AVE
-----------------------------------------------------
City | ZEPHYRHILLS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33542-7468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-661-0079
-----------------------------------------------------
Fax | 352-567-2229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1037 CARRIAGE PARK DR
-----------------------------------------------------
City | VALRICO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33594-4656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-661-0079
-----------------------------------------------------
Fax | 352-567-2229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | WILLIAM FULLER
-----------------------------------------------------
Credential | COO
-----------------------------------------------------
Telephone | 727-322-1054
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------