Provider Demographics
NPI:1689973224
Name:URGENT PRIMARY CARE, LLC
Entity Type:Organization
Organization Name:URGENT PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:I
Authorized Official - Last Name:HALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-915-3838
Mailing Address - Street 1:2881 E OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10199 CLEARY BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1029
Practice Address - Country:US
Practice Address - Phone:954-618-6580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENTMED 17TH STREET CAUSEWAY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty