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NPI Code Detail

MEDICARE: MEDIX URGENT CARE CENTER LLC

MEDICARE: MEDIX URGENT CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114236676
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDIX URGENT CARE CENTER LLC
Provider Business Mailing Address
First Line : 2331 N STATE ROAD 7 STE 102
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3771
Country : US
Telephone Number : 954-530-4355
Fax Number : 954-530-4355
Provider Business Practice Location Address
First Line : 2331 N STATE ROAD 7 STE 102
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3771
Country : US
Telephone Number : 954-530-4355
Fax Number : 954-530-4355
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. YVETTE J FLETCHER
Credential : ARNP
Telephone Number : 954-530-4355
Provider Enumeration Date : 10/01/2010
Last Update Date : 02/20/2024

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Directions to “MEDIX URGENT CARE CENTER LLC ” Practice Location

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