MEDICARE: MY EMERGENT 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1982167086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY EMERGENT CARE

Provider Business Mailing Address
First Line	:	9090 SW 87TH CT STE 100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-2317
Country	:	US
Telephone Number	:	305-546-7852
Fax Number	:	305-735-5931

Provider Business Practice Location Address
First Line	:	3595 W 20TH AVE STE 145
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4537
Country	:	US
Telephone Number	:	305-823-2233
Fax Number	:	305-735-5928

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JOSE VARONA
Credential	:
Telephone Number	:	305-696-7888

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	05/14/2019

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Directions to “MY EMERGENT CARE ” Practice Location

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