Provider Demographics
NPI:1447399902
Name:IMMEDIATE MEDICAL CARE CORP
Entity Type:Organization
Organization Name:IMMEDIATE MEDICAL CARE CORP
Other - Org Name:IMMEDIATE MEDICAL CARE, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOOSAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-641-5550
Mailing Address - Street 1:9770 BAYMEADOWS RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7985
Mailing Address - Country:US
Mailing Address - Phone:904-641-5550
Mailing Address - Fax:904-641-5520
Practice Address - Street 1:9770 BAYMEADOWS RD
Practice Address - Street 2:SUITE 115
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7985
Practice Address - Country:US
Practice Address - Phone:904-641-5550
Practice Address - Fax:904-641-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 92856207Q00000X
FLME 93241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty