Provider Demographics
NPI:1629014667
Name:NTC URGENT CARE CENTERS LLC
Entity Type:Organization
Organization Name:NTC URGENT CARE CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUMINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-394-1969
Mailing Address - Street 1:1101 CITRUS TOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1905
Mailing Address - Country:US
Mailing Address - Phone:352-243-9700
Mailing Address - Fax:352-394-5563
Practice Address - Street 1:1371 CITRUS TOWER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1924
Practice Address - Country:US
Practice Address - Phone:352-394-2205
Practice Address - Fax:352-394-4214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care