Provider Demographics
NPI:1467838862
Name:A FAMILY URGENT CARE, LLC
Entity Type:Organization
Organization Name:A FAMILY URGENT CARE, LLC
Other - Org Name:A PLUS FAMILY URGENT CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:BRAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-234-0100
Mailing Address - Street 1:3345 S DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7817
Mailing Address - Country:US
Mailing Address - Phone:813-234-0100
Mailing Address - Fax:813-234-0115
Practice Address - Street 1:3345 S DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7817
Practice Address - Country:US
Practice Address - Phone:813-234-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care