MEDICARE: URGENT CARE AMERICA 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	207Q00000X	Family Medicine Physician	OS 7744	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1972796837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE AMERICA LLC

Provider Business Mailing Address
First Line	:	2910 KERRY FOREST PKWY # D4-115
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-6892
Country	:	US
Telephone Number	:	850-766-3835
Fax Number	:	229-236-0990

Provider Business Practice Location Address
First Line	:	3599 UNIVERSITY BLVD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4252
Country	:	US
Telephone Number	:	850-766-3835
Fax Number	:	229-236-0990

Authorized Official
Title or Position	:	MGRM
Name	:	DR. MARK HASH
Credential	:	D.O.
Telephone Number	:	850-766-3835

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	04/08/2026

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Directions to “URGENT CARE AMERICA LLC ” Practice Location

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