Provider Demographics
NPI:1649937715
Name:BREEZEMED URGENT CARE LLC
Entity type:Organization
Organization Name:BREEZEMED URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-529-2142
Mailing Address - Street 1:15044 SANDPIPER LN UNIT 8
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-8585
Mailing Address - Country:US
Mailing Address - Phone:239-529-2142
Mailing Address - Fax:239-230-2977
Practice Address - Street 1:15044 SANDPIPER LN UNIT 8
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-8585
Practice Address - Country:US
Practice Address - Phone:239-529-2142
Practice Address - Fax:239-230-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center