Provider Demographics
NPI:1508034083
Name:NORTH GENERAL CENTER URGENT CARE
Entity Type:Organization
Organization Name:NORTH GENERAL CENTER URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RENELIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-733-2929
Mailing Address - Street 1:1315 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-3283
Mailing Address - Country:US
Mailing Address - Phone:561-733-2929
Mailing Address - Fax:
Practice Address - Street 1:1550 N FEDERAL HWY STE 16
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-2810
Practice Address - Country:US
Practice Address - Phone:561-733-2929
Practice Address - Fax:561-736-8467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care