Provider Demographics
NPI:1376852566
Name:INSTANT MEDICAL CARE CENTER INC
Entity Type:Organization
Organization Name:INSTANT MEDICAL CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDIDA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:954-200-6001
Mailing Address - Street 1:1318 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1708
Mailing Address - Country:US
Mailing Address - Phone:954-200-6001
Mailing Address - Fax:561-953-4156
Practice Address - Street 1:1318 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1708
Practice Address - Country:US
Practice Address - Phone:954-200-6001
Practice Address - Fax:561-953-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty