Healthcare Provider Details

I. General information

NPI: 1467894212
Provider Name (Legal Business Name): CEDARS SINAI URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 N UNIVERSITY DR SUITE 505
SUNRISE FL
33351-6332
US

IV. Provider business mailing address

3801 N UNIVERSITY DR SUITE 505
SUNRISE FL
33351-6332
US

V. Phone/Fax

Practice location:
  • Phone: 954-633-4303
  • Fax: 954-642-1414
Mailing address:
  • Phone: 954-633-4303
  • Fax: 954-642-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberHCC9838
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberHCC9838
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberHCC9838
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC9838
License Number StateFL

VIII. Authorized Official

Name: MR. RENE NICOLAS JR.
Title or Position: OWNER
Credential:
Phone: 954-633-4303