Healthcare Provider Details

I. General information

NPI: 1285693218
Provider Name (Legal Business Name): URGENT FAMILY HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 01/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 SW 137 AVE
MIAMI FL
33183-1101
US

IV. Provider business mailing address

5673 SW 137 AVE
MIAMI FL
33183-1101
US

V. Phone/Fax

Practice location:
  • Phone: 305-387-0350
  • Fax: 305-387-0155
Mailing address:
  • Phone: 305-387-0350
  • Fax: 305-387-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME87444
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME87444
License Number StateFL

VIII. Authorized Official

Name: DR. ARLES PERDOMO
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 305-387-0350