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GIBSON HEALTHCARE ENTERPRISES INC NPI 1174829519


NPI Information

NPI: 1174829519
Provider Name: GIBSON HEALTHCARE ENTERPRISES INC

Doing Business As: PREMIER URGENT CARE CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
2400 W SAMPLE RD
SUITE 4
POMPANO BEACH, FL
ZIP 33073
Phone: (954) 580-1036
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GIBSON HEALTHCARE ENTERPRISES INC is an urgent care clinic center in Pompano Beach, FL. GIBSON HEALTHCARE ENTERPRISES INC NPI is 1174829519. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Urgent Care Center.

The provider's business location address is:

2400 W SAMPLE RD
SUITE 4
POMPANO BEACH, FL
ZIP 33073-062
Phone: (954) 580-1036
Fax: (954) 580-1099

The provider's authorized official is Xunda A Gibson .
The authorized official title is Vice President and has the following contact phone number (954) 580-1036.

The enumeration date for this NPI number is 2/2/2011 and was last updated on 2/2/2011.


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
1261QU0200XClinic/CenterUrgent CareYes

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: 5/5/2024

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