NEW SMYRNA BEACH URGENT CARE
NPI 1326448168
Non-Pharmacy Dispensing Site in New Smyrna Beach, FL

Active since August 29, 2014CLIA 10D2003609 · Waiver
1860 RENZULLI RD, NEW SMYRNA BEACH, FL 32168(386) 663-3061 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About New Smyrna Beach Urgent Care NPPES

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

NEW SMYRNA BEACH URGENT CARE (NPI 1326448168) is a healthcare organization registered as a non-pharmacy dispensing site in New Smyrna Beach, Florida and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1326448168
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNEW SMYRNA BEACH URGENT CARE LLC
Location Address1860 RENZULLI RDNew Smyrna Beach, FL 32168-1726
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateAugust 29, 2014
NPI 1326448168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in FL · ME45016
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1860 RENZULLI RD, New Smyrna Beach, FL 32168

Other Names 1

Doing Business AsNew Smyrna Beach Urgent Care

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 10D2003609

New Smyrna Beach Urgent Care · New Smyrna Beach, FL
Active · expires Oct 3, 2027
CLIA Number10D2003609
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorErin C. Sloan
Laboratory Phone(386) 663-3061
Laboratory LocationNew Smyrna Beach Urgent Care1816 Renzulli Rd, New Smyrna Beach, FL 32168
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1860 RENZULLI RD
NEW SMYRNA BEACH, FL 32168
Physician Assistant (Medical)
1860 RENZULLI RD
NEW SMYRNA BEACH, FL 32168
Nurse Practitioner (Family)
1860 RENZULLI RD
NEW SMYRNA BEACH, FL 32168
Clinic/Center (Urgent Care)
1860 RENZULLI RD
NEW SMYRNA BEACH, FL 32168

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326448168, enumerated as an "organization" on August 29, 2014.

The provider is located at 1860 RENZULLI RD NEW SMYRNA BEACH, FL 32168 and the phone number is (386) 663-3061.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.