MEDICARE: HERE NOW URGENT CARE 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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1619334737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERE NOW URGENT CARE LLC

Provider Business Mailing Address
First Line	:	840 E OAKLAND PARK BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-2767
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3460 N ANDREWS AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-6060
Country	:	US
Telephone Number	:	954-303-7005
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/CEO
Name	:	DR. VIVEK V TIRMAL
Credential	:	MD, MBA
Telephone Number	:	954-303-7005

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

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