MEDICARE: AAA URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1245813708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA URGENT CARE LLC

Provider Business Mailing Address
First Line	:	8229 NW 88TH AVE
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1541
Country	:	US
Telephone Number	:	754-222-8232
Fax Number	:

Provider Business Practice Location Address
First Line	:	8229 NW 88TH AVE
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1541
Country	:	US
Telephone Number	:	754-222-8232
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CELINA COSTA
Credential	:	PA
Telephone Number	:	754-222-8232

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	04/03/2025

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