PRUDENTIAL URGENT CARE & DIAGNOSTIC INC. NPI 1194101618

NPI Information

  • NPI: 1194101618
  • Provider Name: PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC.
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 4101 NW 3RD CT
    SUITE 3
    PLANTATION, FL
    ZIP 33317
  • Phone: (954) 530-9280

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NPI Details

PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC. is an urgent care clinic center in Plantation, FL. PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC. NPI is 1194101618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4101 NW 3RD CT
SUITE 3
PLANTATION, FL
ZIP 33317-857
Phone: (954) 530-9280
Fax: (954) 533-1024

The provider's authorized official is Ollie Royster .
The authorized official title is Manager and has the following contact phone number (954) 530-9280.

The enumeration date for this NPI number is 8/6/2015 and was last updated on 2/27/2017.

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
1207P00000XEmergency MedicineOS1505FLORIDANo
2208D00000XGeneral PracticeME79405FLORIDANo
3261QU0200XClinic/CenterUrgent CareOS1505FLORIDAYes

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
1L32023MEDICARE UPINFLORIDA

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: 11/21/2025

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