Provider Demographics
NPI:1982036042
Name:MOUNT SINAI URGENT CARE INC
Entity Type:Organization
Organization Name:MOUNT SINAI URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMESLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-730-3143
Mailing Address - Street 1:5413 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2921
Mailing Address - Country:US
Mailing Address - Phone:954-530-6843
Mailing Address - Fax:407-730-3105
Practice Address - Street 1:5413 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33319-2921
Practice Address - Country:US
Practice Address - Phone:954-530-6843
Practice Address - Fax:407-730-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
FLME83974261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center