Provider Demographics
NPI:1578719753
Name:URGENT CARE MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:URGENT CARE MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:LOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-640-7505
Mailing Address - Street 1:4714 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4626
Mailing Address - Country:US
Mailing Address - Phone:561-640-7505
Mailing Address - Fax:561-640-7506
Practice Address - Street 1:4714 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4626
Practice Address - Country:US
Practice Address - Phone:561-640-7505
Practice Address - Fax:561-640-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care