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MEDFAST URGENT CARE CENTER, LLC
NPI 1164064200
Clinic/Center - Urgent Care in Edgewater, FL

Active since October 10, 2019CLIA 10D2174608 · Waiver
1000 S RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 220-8222(386) 220-8233 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Oct 10, 2019 (2 updates tracked since 2019).

About Medfast Urgent Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDFAST URGENT CARE CENTER, LLC (NPI 1164064200) is a healthcare organization registered as an urgent care in Edgewater, Florida and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Marilyn Stevens, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1164064200
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDFAST URGENT CARE CENTER, LLC
Location Address1000 S RIDGEWOOD AVEEdgewater, FL 32132-2333
Mailing Address390 N Courtenay PkwyMerritt Island, FL 32953-3456 · (321) 633-3162
Phone(386) 220-8222
Fax(386) 220-8233
Organization SubpartNo
Authorized OfficialMarilyn StevensBilling Director · (321) 821-4950
Enumeration DateOctober 10, 2019
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1164064200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1000 S RIDGEWOOD AVE, Edgewater, FL 32132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2174608

Medfast Urgent Care Centers LLC · Edgewater, FL
Active · expires Nov 4, 2027
CLIA Number10D2174608
Laboratory TypeUrgent Care Center
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDavid T. Williams
Laboratory Phone(386) 220-8222
Laboratory LocationMedfast Urgent Care Centers LLC1000 S Ridgewood Ave, Edgewater, FL 32132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE LEA EADS NP
Nurse Practitioner (Family)
1000 S RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 220-8222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medfast Urgent Care Center, LLC's NPI number?

The NPI number for Medfast Urgent Care Center, LLC is 1164064200. It was assigned to this organization in the NPPES registry on October 10, 2019.

Where is Medfast Urgent Care Center, LLC located?

Medfast Urgent Care Center, LLC is located at 1000 S Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 220-8222.

What is Medfast Urgent Care Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Medfast Urgent Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2174608) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medfast Urgent Care Center, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Medfast Urgent Care Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medfast Urgent Care Center, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.