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NPI Code Detail

MEDICARE: XPRESS URGENT CARE LLC

MEDICARE: XPRESS URGENT CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center
2208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487160701
Entity Type Code : Organization
Provider Name (Legal Business Name) : XPRESS URGENT CARE LLC
Provider Business Mailing Address
First Line : PO BOX 4189
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-4189
Country : US
Telephone Number : 561-779-1652
Fax Number :
Provider Business Practice Location Address
First Line : 3387 S JOG RD STE 103
Second Line :
City : GREENACRES
State : FL
Zip : 33467-2010
Country : US
Telephone Number : 561-781-8090
Fax Number : 561-781-8099
Authorized Official
Title or Position : PRESIDENT
Name : MAZIN M SHIKARA
Credential : MD
Telephone Number : 561-779-1652
Provider Enumeration Date : 12/22/2017
Last Update Date : 02/07/2023

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Directions to “XPRESS URGENT CARE LLC ” Practice Location

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