Provider Demographics
NPI:1770842296
Name:URGENT MED PLANTATION INC.
Entity Type:Organization
Organization Name:URGENT MED PLANTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-423-9234
Mailing Address - Street 1:10199 CLEARY BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1029
Mailing Address - Country:US
Mailing Address - Phone:800-275-9630
Mailing Address - Fax:954-473-8015
Practice Address - Street 1:10199 CLEARY BLVD STE 10
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1029
Practice Address - Country:US
Practice Address - Phone:800-275-9630
Practice Address - Fax:954-423-9231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care