NPI Code Details Logo

NPI 1972416444

NPI 1972416444 : URGENT PSYCH MEDPA : TAMARAC, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1972416444
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    URGENT PSYCH MEDPA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2026
-----------------------------------------------------
    Last Update Date     |    09/25/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8050 N UNIVERSITY DR STE 201 
-----------------------------------------------------
    City                 |    TAMARAC
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33321-2102
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-240-9500
-----------------------------------------------------
    Fax                  |    844-378-5066
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11485 HIBBS GROVE DR 
-----------------------------------------------------
    City                 |    COOPER CITY
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33330-4444
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-240-9500
-----------------------------------------------------
    Fax                  |    844-378-5066
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHAIRMAN
-----------------------------------------------------
    Name                 |    DR. MOHAMMAD J LATIF-JANGDA 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    954-240-9500
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084A0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084P0015X
-----------------------------------------------------
    Taxonomy Name        |    Psychosomatic Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P0805X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.