Healthcare Provider Details

I. General information

NPI: 1770842296
Provider Name (Legal Business Name): URGENT MED PLANTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10199 CLEARY BLVD STE 10
PLANTATION FL
33324-1029
US

IV. Provider business mailing address

10199 CLEARY BLVD STE 10
PLANTATION FL
33324-1029
US

V. Phone/Fax

Practice location:
  • Phone: 954-473-8565
  • Fax: 954-473-8015
Mailing address:
  • Phone: 800-275-9630
  • Fax: 954-473-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK C HERNANDEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-473-8565