Healthcare Provider Details

I. General information

NPI: 1972416444
Provider Name (Legal Business Name): URGENT PSYCH MEDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 N UNIVERSITY DR STE 201
TAMARAC FL
33321-2102
US

IV. Provider business mailing address

11485 HIBBS GROVE DR
COOPER CITY FL
33330-4444
US

V. Phone/Fax

Practice location:
  • Phone: 954-240-9500
  • Fax: 844-378-5066
Mailing address:
  • Phone: 954-240-9500
  • Fax: 844-378-5066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD J LATIF-JANGDA
Title or Position: CHAIRMAN
Credential: MD
Phone: 954-240-9500