Healthcare Provider Details

I. General information

NPI: 1578335295
Provider Name (Legal Business Name): UMG HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9445 HARDING AVE
SURFSIDE FL
33154-2803
US

IV. Provider business mailing address

PO BOX 12119
OKLAHOMA CITY OK
73157-2119
US

V. Phone/Fax

Practice location:
  • Phone: 305-537-6396
  • Fax: 561-823-7248
Mailing address:
  • Phone: 561-823-7180
  • Fax: 561-823-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: URI GEDALIA
Title or Position: PRESIDENT
Credential: MD
Phone: 561-823-7180