Provider Demographics
NPI:1639561186
Name:AGAPEMD, LLC
Entity Type:Organization
Organization Name:AGAPEMD, LLC
Other - Org Name:ASAP URGENT CARE & FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHZAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-339-4683
Mailing Address - Street 1:101425 OVERSEAS HWY # 190
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4505
Mailing Address - Country:US
Mailing Address - Phone:786-339-4683
Mailing Address - Fax:
Practice Address - Street 1:90130 OLD HWY
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2368
Practice Address - Country:US
Practice Address - Phone:305-852-9300
Practice Address - Fax:305-853-1260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL14000072508261QH0100X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care