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MEDFAST URGENT CARE CENTERS, LLC
NPI 1366710170
Clinic/Center - Urgent Care in Palm Bay, FL

Active since December 07, 2011CLIA 10D2033637 · Waiver
490 CENTRE LAKE DR NE, PALM BAY, FL 32907(321) 751-7222 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2021, Jun 17, 2020 (2 updates tracked since 2020).

About Medfast Urgent Care Centers, Llc NPPES

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

MEDFAST URGENT CARE CENTERS, LLC (NPI 1366710170) is a healthcare organization registered as an urgent care in Palm Bay, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists David Thomas Williams, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366710170
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDFAST URGENT CARE CENTERS, LLC
Location Address490 CENTRE LAKE DR NEPalm Bay, FL 32907-1113
Mailing Address490 Centre Lake Dr NePalm Bay, FL 32907-1113 · (321) 751-7222
Phone(321) 751-7222
Organization SubpartNo
Authorized OfficialDavid Thomas WilliamsMedical Director · (321) 821-4950
Enumeration DateDecember 7, 2011
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1366710170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · OS6588
490 CENTRE LAKE DR NE, Palm Bay, FL 32907
Open in Google Maps ↗

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), Florida Health Care Plans and more.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 10D2033637

Medfast Urgent Care Centers LLC · Palm Bay, FL
Active · expires Dec 6, 2027
CLIA Number10D2033637
Laboratory TypeUrgent Care Center
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDavid T. Williams
Laboratory Phone(301) 751-7222
Laboratory LocationMedfast Urgent Care Centers LLC490 Centre Lake Dr Ste 200, Palm Bay, FL 32907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SHAWN WILSON PTA
Physical Therapy Assistant
490 CENTRE LAKE DR NE
PALM BAY, FL 32907
Brevard County (321) 768-9776
NOMARA JEANNE BUCK PTA
Physical Therapy Assistant
490 CENTRE LAKE DR NE, SUITE 100
PALM BAY, FL 32907
Brevard County (321) 768-9776
SHANNON PATRICIA GREEN LMHC
Counselor (Mental Health)
490 CENTRE LAKE DR NE, SUITE 150
PALM BAY, FL 32907
Brevard County (321) 768-6420
MR. JOHN J ROBERTS BC-HAS
Hearing Instrument Specialist
490 CENTRE LAKE DR NE, SUITE 150
PALM BAY, FL 32907
Brevard County (321) 369-9900
RENEW THERAPY CENTER OF PALM BAY, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
490 CENTRE LAKE DR NE, SUITE 100
PALM BAY, FL 32907
Brevard County (321) 768-9776
DR. DAVID WILLIAMS DO
Emergency Medicine
490 CENTRE LAKE DR NE, SUITE 200
PALM BAY, FL 32907
Brevard County (800) 476-8646
MARIAH PAIGE HARDY APRN
Nurse Practitioner
490 CENTRE LAKE DR NE
PALM BAY, FL 32907
Brevard County (321) 821-4950

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 Centers, LLC's NPI number?

The NPI number for Medfast Urgent Care Centers, LLC is 1366710170. It was assigned to this organization in the NPPES registry on December 7, 2011.

Where is Medfast Urgent Care Centers, LLC located?

Medfast Urgent Care Centers, LLC is located at 490 Centre Lake Dr NE, Palm Bay, FL 32907. The listed phone number is (321) 751-7222.

What is Medfast Urgent Care Centers, 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 Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2033637) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medfast Urgent Care Centers, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Medfast Urgent Care Centers, 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 Centers, LLC was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.