Provider Demographics
NPI:1396017257
Name:ULTIMATE URGENT CARE CENTER INC
Entity Type:Organization
Organization Name:ULTIMATE URGENT CARE CENTER INC
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:BAHRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-760-8400
Mailing Address - Street 1:2390 NE 186TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2789
Mailing Address - Country:US
Mailing Address - Phone:305-760-8400
Mailing Address - Fax:305-931-6166
Practice Address - Street 1:2390 NE 186TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-2789
Practice Address - Country:US
Practice Address - Phone:305-760-8400
Practice Address - Fax:305-931-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care