Provider Demographics
NPI:1609069970
Name:MEDEXPRESS URGENT CARE OF CORAL SPRINGS LLC
Entity Type:Organization
Organization Name:MEDEXPRESS URGENT CARE OF CORAL SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-253-3824
Mailing Address - Street 1:1809 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6001
Mailing Address - Country:US
Mailing Address - Phone:954-510-1900
Mailing Address - Fax:
Practice Address - Street 1:1809 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6001
Practice Address - Country:US
Practice Address - Phone:954-510-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ478Medicare PIN