Healthcare Provider Details

I. General information

NPI: 1518309434
Provider Name (Legal Business Name): EXPRESS DOCS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14530 S MILITARY TRL STE A1-5
DELRAY BEACH FL
33484-3706
US

IV. Provider business mailing address

14530 S MILITARY TRL STE A1-5
DELRAY BEACH FL
33484-3706
US

V. Phone/Fax

Practice location:
  • Phone: 561-381-0260
  • Fax:
Mailing address:
  • Phone: 561-381-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number10723
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. ROY C MUSOFF
Title or Position: MGMR
Credential: M.D.
Phone: 561-702-4541