Provider Demographics
NPI:1477716108
Name:MEDEXPRESS URGENT CARE OF WEST BOCA RATON LLC
Entity Type:Organization
Organization Name:MEDEXPRESS URGENT CARE OF WEST BOCA RATON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-424-9319
Mailing Address - Street 1:19090 STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4763
Mailing Address - Country:US
Mailing Address - Phone:561-314-4650
Mailing Address - Fax:
Practice Address - Street 1:19090 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4763
Practice Address - Country:US
Practice Address - Phone:561-314-4650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care