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General NPI Number Information
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NPI Number | 1427468305
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Entity Type | Organization
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Legal Business Name | BROWARD OUTPATIENT URGENT CARE
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 150 S ANDREWS AVE SUITE 201
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3298
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Country | US
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Telephone | 954-941-2969
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Fax | 954-960-6858
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Provider Business Mailing Address
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Address Line | 150 S ANDREWS AVE SUITE 201
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3298
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Country | US
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Telephone | 954-941-2969
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Fax | 954-960-6858
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. STACEY B CASTROVINCI
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Credential | R.N.
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Telephone | 954-941-2969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 13815
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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