Provider Demographics
NPI:1649979600
Name:CARESPOT OF ORLANDO / HSI URGENT CARE LLC
Entity type:Organization
Organization Name:CARESPOT OF ORLANDO / HSI URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-843-3228
Mailing Address - Street 1:8711 PERIMETER PARK BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6389
Mailing Address - Country:US
Mailing Address - Phone:904-900-5438
Mailing Address - Fax:
Practice Address - Street 1:4895 EAST BAY DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33764
Practice Address - Country:US
Practice Address - Phone:727-330-3988
Practice Address - Fax:727-339-6999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARESPOT OF ORLANDO / HSI URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-28
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care