NPI 1639418015 · live from the CMS NPI Registry
Access Urgent Care LLC
General Practice in St Augustine, FL. National Provider Identifier 1639418015, active.
NPI record
| NPI | 1639418015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 10440 Us 1 N, Suite 101, St Augustine, FL 32095 |
| Practice phone | 904-519-8895 |
| Enumerated | February 5, 2013 |
| Last updated | August 1, 2013 |
| Authorized official | Michael Haghighi, Co Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | ME85579 (FL) |
| General Practice | 208D00000X | ME89960 (FL) |
| Nurse Practitioner, Family | 363LF0000X | ARNP9359300 (FL) |
| General Practice primary | 208D00000X | ME89508 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.