MEDICARE: URGENT CARE CURE 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	1086417338	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JN669	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881182335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE CURE LLC

Provider Business Mailing Address
First Line	:	10870 US HIGHWAY 1 N UNIT 104
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-7804
Country	:	US
Telephone Number	:	904-438-2720
Fax Number	:

Provider Business Practice Location Address
First Line	:	10870 US HIGHWAY 1 N UNIT 104
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-7804
Country	:	US
Telephone Number	:	904-438-2720
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXEI PRYTKOV
Credential	:	MD
Telephone Number	:	904-438-2720

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	10/29/2023

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Directions to “URGENT CARE CURE LLC ” Practice Location

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