MEDEXPRESS URGENT CARE OF BOYNTON BEACH LLC NPI 1366718926

NPI Information

NPI: 1366718926
Provider Name: MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC

Doing Business As: MEDEXPRESS URGENT CARE - PALM BEACH GARDENS

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

Specialization: Urgent Care

Address:
4520 DONALD ROSS RD
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33418
Phone: (561) 776-3090
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MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC is an urgent care clinic center in Palm Beach Gardens, FL. MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC NPI is 1366718926. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Palm Beach Gardens.

The provider's business location address is:

4520 DONALD ROSS RD
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33418-105
Phone: (561) 776-3090
Fax: (561) 296-8141

The provider's authorized official is Tim Bugin .
The authorized official title is Vp Of Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 1/4/2017.

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
1	208D00000X	General Practice				No
2	261QU0200X	Clinic/Center	Urgent Care	HCC8240	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	000280900	MEDICAID	FLORIDA
2	K9242	MEDICARE PIN	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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