MEDICARE: MOUNT SINAI URGENT CARE

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1821400748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT SINAI URGENT CARE

Provider Business Mailing Address
First Line	:	5413 N STATE ROAD 7
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33319-2921
Country	:	US
Telephone Number	:	954-530-6843
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 N STATE ROAD 7
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33319-2921
Country	:	US
Telephone Number	:	954-530-6843
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YANICK DUMESLE
Credential	:
Telephone Number	:	407-730-3113

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	07/21/2022

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