Provider Demographics
NPI:1376875856
Name:URGENT CARE CENTERS OF SOUTH FLORIDA, LLC
Entity Type:Organization
Organization Name:URGENT CARE CENTERS OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMOSTHENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-979-1781
Mailing Address - Street 1:20817 SW 92ND CT
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2467
Mailing Address - Country:US
Mailing Address - Phone:305-979-1781
Mailing Address - Fax:
Practice Address - Street 1:3644 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5267
Practice Address - Country:US
Practice Address - Phone:305-979-1781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care