Provider Demographics
NPI:1639301443
Name:URGENT CARE OF BROWARD, INC.
Entity Type:Organization
Organization Name:URGENT CARE OF BROWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSEH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-583-0504
Mailing Address - Street 1:PO BOX 16404
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-6404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4121 NW 5TH ST
Practice Address - Street 2:215
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2120
Practice Address - Country:US
Practice Address - Phone:954-583-0504
Practice Address - Fax:954-583-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 43064173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty