Provider Demographics
NPI:1689838849
Name:URGENT CARE PHYSICIANS OF COUNTRY WALK LLC
Entity Type:Organization
Organization Name:URGENT CARE PHYSICIANS OF COUNTRY WALK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:NATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-888-8820
Mailing Address - Street 1:PO BOX 162848
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-2848
Mailing Address - Country:US
Mailing Address - Phone:786-888-8820
Mailing Address - Fax:786-591-6025
Practice Address - Street 1:13500 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1111
Practice Address - Country:US
Practice Address - Phone:786-596-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty