National Provider Identifier Database

AMELIA URGENT CARE LLC
Critical Access Hospital

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.


Contact Information

AMELIA URGENT CARE LLC
96279 BRADY POINT RD
FERNANDINA BEACH, FL32034-7076
Phone: 904-321-1177
Fax: 904-321-0016
Website:
Specialty Taxonomy Code
* Critical Access Hospital 261QC0050X

* Indicates primary specialty

NPI Profile & details for AMELIA URGENT CARE LLC

NPI Number 1720417884
Legal business name
LBN
AMELIA URGENT CARE LLC
Authorized official DANIEL MATRICIA - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2013
Last updated 11/08/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OS6933

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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