Healthcare Provider Details

I. General information

NPI: 1114236676
Provider Name (Legal Business Name): MEDIX URGENT CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 N STATE ROAD 7 STE 102
LAUDERDALE LAKES FL
33313-3771
US

IV. Provider business mailing address

2331 N STATE ROAD 7 STE 102
LAUDERDALE LAKES FL
33313-3771
US

V. Phone/Fax

Practice location:
  • Phone: 954-530-4355
  • Fax: 954-530-4355
Mailing address:
  • Phone: 954-530-4355
  • Fax: 954-530-4355

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: MRS. YVETTE J FLETCHER
Title or Position: ADMINISTRATOR
Credential: ARNP
Phone: 954-530-4355