Provider Demographics
NPI:1982167086
Name:MY EMERGENT CARE
Entity Type:Organization
Organization Name:MY EMERGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-696-7888
Mailing Address - Street 1:9090 SW 87TH CT STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2317
Mailing Address - Country:US
Mailing Address - Phone:305-546-7852
Mailing Address - Fax:305-735-5931
Practice Address - Street 1:3595 W 20TH AVE STE 145
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4537
Practice Address - Country:US
Practice Address - Phone:305-823-2233
Practice Address - Fax:305-735-5928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care