Healthcare Provider Details

I. General information

NPI: 1982036042
Provider Name (Legal Business Name): MOUNT SINAI URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5413 N STATE ROAD 7
FT LAUDERDALE FL
33319-2921
US

IV. Provider business mailing address

5413 N STATE ROAD 7
FT LAUDERDALE FL
33319-2921
US

V. Phone/Fax

Practice location:
  • Phone: 954-530-6843
  • Fax: 407-730-3105
Mailing address:
  • Phone: 954-530-6843
  • Fax: 407-730-3105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. YANICK DUMESLE
Title or Position: OWNER
Credential:
Phone: 407-730-3143