Provider Demographics
NPI:1770825077
Name:SOUTH FLORIDA URGENT CARE CENTERS, LLC
Entity Type:Organization
Organization Name:SOUTH FLORIDA URGENT CARE CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSBERTO
Authorized Official - Middle Name:B
Authorized Official - Last Name:HIDALGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-442-8380
Mailing Address - Street 1:302 NW 179TH AVE
Mailing Address - Street 2:103
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2818
Mailing Address - Country:US
Mailing Address - Phone:954-442-8380
Mailing Address - Fax:954-442-8661
Practice Address - Street 1:302 NW 179TH AVE
Practice Address - Street 2:103
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2818
Practice Address - Country:US
Practice Address - Phone:954-442-8380
Practice Address - Fax:954-442-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center