Provider Demographics
NPI:1265624597
Name:MIAMI DADE URGENT CARE CORP
Entity type:Organization
Organization Name:MIAMI DADE URGENT CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAPOTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-642-8111
Mailing Address - Street 1:10240 SW 56TH ST
Mailing Address - Street 2:#108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7071
Mailing Address - Country:US
Mailing Address - Phone:305-270-5655
Mailing Address - Fax:305-275-5650
Practice Address - Street 1:10240 SW 56TH ST
Practice Address - Street 2:#108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7071
Practice Address - Country:US
Practice Address - Phone:305-270-5655
Practice Address - Fax:305-275-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty