Provider Demographics
NPI:1568179448
Name:DELRAY REGIONAL URGENT CARE LLC
Entity Type:Organization
Organization Name:DELRAY REGIONAL URGENT CARE LLC
Other - Org Name:MD PLUS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KATEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-933-4668
Mailing Address - Street 1:10791 EL PARAISO PL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2707
Mailing Address - Country:US
Mailing Address - Phone:561-933-4668
Mailing Address - Fax:
Practice Address - Street 1:4801 LINTON BLVD STE 10A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6501
Practice Address - Country:US
Practice Address - Phone:561-933-4668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty