Provider Demographics
NPI:1306404777
Name:YOUR KIDS URGENT CARE ALABAMA
Entity Type:Organization
Organization Name:YOUR KIDS URGENT CARE ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CIBRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-688-8515
Mailing Address - Street 1:2115 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8815
Mailing Address - Country:US
Mailing Address - Phone:727-688-8515
Mailing Address - Fax:
Practice Address - Street 1:790 MONTGOMERY HWY STE 112
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1873
Practice Address - Country:US
Practice Address - Phone:205-769-6800
Practice Address - Fax:205-769-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care