Provider Demographics
NPI:1659717049
Name:LAXMI MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:LAXMI MEDICAL SERVICES, LLC
Other - Org Name:GETMED URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINTRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-235-5206
Mailing Address - Street 1:5817 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:561-235-5206
Mailing Address - Fax:
Practice Address - Street 1:7600 W CAMINO REAL
Practice Address - Street 2:STE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5514
Practice Address - Country:US
Practice Address - Phone:561-235-5206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care