Healthcare Provider Details
I. General information
NPI: 1073201612
Provider Name (Legal Business Name): SOUTH FLORIDA URGENT CARE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9117 SW 87TH AVE
MIAMI FL
33176-2302
US
IV. Provider business mailing address
9117 SW 87TH AVE
MIAMI FL
33176-2302
US
V. Phone/Fax
- Phone: 786-724-2434
- Fax: 305-846-9634
- Phone: 786-724-2434
- Fax: 305-846-9634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JORGE
GARCIA
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 56-060-3373