Provider Demographics
NPI:1568750016
Name:URGENT CARE USA PLANT CITY
Entity Type:Organization
Organization Name:URGENT CARE USA PLANT CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALVATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-752-7222
Mailing Address - Street 1:413 N ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4305
Mailing Address - Country:US
Mailing Address - Phone:813-752-7222
Mailing Address - Fax:
Practice Address - Street 1:413 N ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4305
Practice Address - Country:US
Practice Address - Phone:813-752-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT CARE USA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7430261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care