Provider Demographics
NPI:1912378894
Name:WALKING URGENT CARE, INC.
Entity Type:Organization
Organization Name:WALKING URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NASEH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-815-9172
Mailing Address - Street 1:PO BOX 9851
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-0851
Mailing Address - Country:US
Mailing Address - Phone:954-755-4880
Mailing Address - Fax:954-755-0861
Practice Address - Street 1:10308 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3942
Practice Address - Country:US
Practice Address - Phone:954-755-4880
Practice Address - Fax:954-755-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-17
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114198261QP2300X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care