Provider Demographics
NPI:1609117373
Name:ALL-IN-ONE URGENT CARE, INC.
Entity Type:Organization
Organization Name:ALL-IN-ONE URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:AGOSTINI-MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-228-6498
Mailing Address - Street 1:211 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2132
Mailing Address - Country:US
Mailing Address - Phone:863-658-3991
Mailing Address - Fax:863-314-6962
Practice Address - Street 1:211 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2132
Practice Address - Country:US
Practice Address - Phone:863-658-3991
Practice Address - Fax:863-314-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01423500Medicaid
FLHQ831AMedicare PIN