Provider Demographics
NPI:1619575529
Name:MEDEC URGENT CARE PLLC
Entity Type:Organization
Organization Name:MEDEC URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QAZIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:312-719-2211
Mailing Address - Street 1:600 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-3489
Mailing Address - Country:US
Mailing Address - Phone:321-567-2211
Mailing Address - Fax:321-567-2211
Practice Address - Street 1:600 GARDEN ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-3489
Practice Address - Country:US
Practice Address - Phone:321-567-2211
Practice Address - Fax:321-567-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care