Provider Demographics
NPI:1922192624
Name:WELLINGTON URGENT CARE CENTER
Entity Type:Organization
Organization Name:WELLINGTON URGENT CARE CENTER
Other - Org Name:FLORIDA MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-557-1281
Mailing Address - Street 1:1035 STATE RD. 7
Mailing Address - Street 2:SUITE 119
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-828-2694
Mailing Address - Fax:305-362-9138
Practice Address - Street 1:1035 STATE RD. 7
Practice Address - Street 2:SUITE 119
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-828-2694
Practice Address - Fax:305-362-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05631Medicare ID - Type Unspecified