Healthcare Provider Details

I. General information

NPI: 1942537949
Provider Name (Legal Business Name): CMD URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 11/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

678 N UNIVERSITY DRIVE
PEMBROKE PINES FL
33024
US

IV. Provider business mailing address

678 N UNIVERSITY DRIVE
PEMBROKE PINES FL
33024
US

V. Phone/Fax

Practice location:
  • Phone: 954-538-6868
  • Fax: 954-538-6850
Mailing address:
  • Phone: 954-538-6868
  • Fax: 954-538-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. MARLOW HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 954-538-6868