Healthcare Provider Details

I. General information

NPI: 1477414886
Provider Name (Legal Business Name): M&O URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 DAVIE RD STE 101
DAVIE FL
33314-1615
US

IV. Provider business mailing address

2924 DAVIE RD STE 101
DAVIE FL
33314-1615
US

V. Phone/Fax

Practice location:
  • Phone: 754-222-1002
  • Fax: 305-454-1311
Mailing address:
  • Phone: 754-222-1002
  • Fax: 305-454-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIGDIEL GARCIA BARDINA
Title or Position: OWNER
Credential:
Phone: 786-479-8475