Provider Demographics
NPI:1417399551
Name:MD URGENT CARE WALK-IN CLINIC INC.
Entity Type:Organization
Organization Name:MD URGENT CARE WALK-IN CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NERLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTINABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-969-3710
Mailing Address - Street 1:7104 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7812
Mailing Address - Country:US
Mailing Address - Phone:561-969-3710
Mailing Address - Fax:561-969-3811
Practice Address - Street 1:7104 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7812
Practice Address - Country:US
Practice Address - Phone:561-969-3710
Practice Address - Fax:561-969-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10695261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care