Provider Demographics
NPI:1124264221
Name:SKYMED URGENT CARE, LLC
Entity type:Organization
Organization Name:SKYMED URGENT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:TURNQUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-644-6151
Mailing Address - Street 1:10 TALL OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2713
Mailing Address - Country:US
Mailing Address - Phone:561-644-6151
Mailing Address - Fax:561-337-9059
Practice Address - Street 1:10 TALL OAKS CIR
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2713
Practice Address - Country:US
Practice Address - Phone:561-644-6151
Practice Address - Fax:561-337-9059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KALANCHOE BAHAMAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-21
Last Update Date:2008-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch