Provider Demographics
NPI:1780222406
Name:FLORIDA URGENT CARE PARTNERS
Entity Type:Organization
Organization Name:FLORIDA URGENT CARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-928-7939
Mailing Address - Street 1:PO BOX 2877
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33568-2877
Mailing Address - Country:US
Mailing Address - Phone:813-928-7939
Mailing Address - Fax:813-677-0500
Practice Address - Street 1:10610 N 56TH ST # 211
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-3641
Practice Address - Country:US
Practice Address - Phone:813-928-7939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care