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MEDFAST URGENT CARE CENTERS, LLC
NPI 1730405820
Clinic/Center - Urgent Care in Port St John, FL

Active since April 14, 2010CLIA 10D2006323 · Waiver
5005 PORT ST JOHN PKWY, PORT ST JOHN, FL 32927(321) 751-7222(321) 751-6655 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1730405820) is a healthcare organization registered as an urgent care in Port St John, Florida and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists David T Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1730405820
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDFAST URGENT CARE CENTERS, LLC
Location Address5005 PORT ST JOHN PKWYPort St John, FL 32927-4305
Mailing Address7925 N Wickham RdMelbourne, FL 32940-8211 · (321) 751-7222 · Fax (321) 751-6655
Phone(321) 751-7222
Fax(321) 751-6655
Organization SubpartYes
Authorized OfficialDavid T WilliamsManaging Member · (321) 633-8620
Enumeration DateApril 14, 2010
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1730405820 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
5005 PORT ST JOHN PKWY, Port St John, FL 32927
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 10D2006323

Medfast Urgent Care Centers LLC · Port Saint John, FL
Active · expires Sep 25, 2026
CLIA Number10D2006323
Laboratory TypeUrgent Care Center
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorDavid T. Williams
Laboratory Phone(321) 633-8620
Laboratory LocationMedfast Urgent Care Centers LLC5005 Port St John Pkwy, Port Saint John, FL 32927
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 18

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

VICTORIA E SCUDERI PTA
Physical Therapy Assistant
5005 PORT ST JOHN PKWY
COCOA, FL 32927
Brevard County (321) 633-8660
DR. BENJAMIN REED NETTLETON D.O.
Family Medicine
5005 PORT ST JOHN PKWY, SUITE 2500
PORT ST JOHN, FL 32927
Brevard County (321) 504-0556
DR. STEVEN LANCE HOLMES M.D.
General Practice
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 633-8640
KETSIA CELESTIN LOUIS M.D.
Family Medicine
5005 PORT ST JOHN PKWY
COCOA, FL 32927
Brevard County (321) 504-0556
SHIVANI MITRA MD
Pediatrics
5005 PORT ST JOHN PKWY, 2500
PORT ST JOHN, FL 32927
Brevard County (321) 690-0164
YU-WEN CHANG OTR/L
Occupational Therapist
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 636-9393
KEYSHA BROWN APRN
Registered Nurse (General Practice)
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 633-8620
DR. EUGENE H GO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5005 PORT ST JOHN PKWY, SUITE 2600
PORT ST JOHN, FL 32927
Brevard County (321) 504-7375

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 1730405820. It was assigned to this organization in the NPPES registry on April 14, 2010.

Where is Medfast Urgent Care Centers, LLC located?

Medfast Urgent Care Centers, LLC is located at 5005 Port St John Pkwy, Port St John, FL 32927. 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 10D2006323) is associated with this NPI, valid through September 25, 2026. 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 and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.