Healthcare Provider Details

I. General information

NPI: 1124360458
Provider Name (Legal Business Name): SOUTH FLORIDA URGENT CARE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5590 W 20TH AVE 101
HIALEAH FL
33016-7070
US

IV. Provider business mailing address

5590 W 20TH AVE 101
HIALEAH FL
33016-7070
US

V. Phone/Fax

Practice location:
  • Phone: 305-556-4470
  • Fax: 305-819-6634
Mailing address:
  • Phone: 305-556-4470
  • Fax: 305-819-6634

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: DR. AUSBERTO B HIDALGO
Title or Position: OWNER
Credential: M.D.
Phone: 305-556-4470