SOUTH FLORIDA URGENT CARE LLC NPI 1053660233

NPI Information

NPI: 1053660233
Provider Name: SOUTH FLORIDA URGENT CARE, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2241046

Address:
5590 W 20 AVE
103
HIALEAH, FL
ZIP 33012
Phone: (305) 827-3303
Get Directions

SOUTH FLORIDA URGENT CARE, LLC is an urgent care clinic center in Hialeah, FL. SOUTH FLORIDA URGENT CARE, LLC NPI is 1053660233. The provider is registered as an organization entity type.

The provider's business location address is:

5590 W 20 AVE
103
HIALEAH, FL
ZIP 33012
Phone: (305) 827-3303
Fax: (305) 819-6634

The provider's authorized official is Mike R Moya .
The authorized official title is Credentialing Rep and has the following contact phone number (786) 301-0845.

The CLIA number assigned to this NPI record is 10D2241046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E21539	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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