Healthcare Provider Details

I. General information

NPI: 1790150431
Provider Name (Legal Business Name): EXPRESS MD URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2015
Last Update Date: 12/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4153
US

IV. Provider business mailing address

505 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4109
US

V. Phone/Fax

Practice location:
  • Phone: 954-794-7147
  • Fax: 954-421-1744
Mailing address:
  • Phone: 954-421-6242
  • Fax: 954-708-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH CLARKE
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 954-794-7149