Provider Demographics
NPI:1518280809
Name:PROMPT CARE OF CENTRAL FLORIDA LLC
Entity Type:Organization
Organization Name:PROMPT CARE OF CENTRAL FLORIDA LLC
Other - Org Name:PROMPT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHANMUGAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:386-878-4137
Mailing Address - Street 1:1133 SAXON BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8425
Mailing Address - Country:US
Mailing Address - Phone:386-878-4137
Mailing Address - Fax:386-878-4293
Practice Address - Street 1:1133 SAXON BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8425
Practice Address - Country:US
Practice Address - Phone:386-878-4137
Practice Address - Fax:386-878-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care