Active NPI
ER Urgent Care & Diagnostic, Inc.
- Legal Medicine
- Plantation, FL
National Provider Identifier
1023326824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME43064
- Legal business name
- ER URGENT CARE & DIAGNOSTIC, INC.
- Practice address
- 4141 NW 5TH St
100
Plantation, FL 33317-2180 - Phone
- (954) 581-1581
- Fax
- (954) 581-0543
- NPI assigned
- Sep 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Marie Eugene, M.D.
- Title
- Medical Director
- Phone
- (954) 581-1581
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9049 | FL | |
| Legal Medicine | 173000000X | ME43064 | FL | Primary |
Addresses
Primary practice location
4141 NW 5TH St
100
Plantation, FL 33317-2180
Mailing address
4141 NW 5TH St
100
Plantation, FL 33317-2180
Phone (954) 581-1581
National Provider Directory
National Provider DirectoryLocations
4141 NW 5th St
Ste 100
Plantation, FL 33317
Phone (954) 584-8354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1023326824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 NW 5TH ST",
"address_2": "100",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172180",
"telephone_number": "954-581-1581",
"fax_number": "954-581-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 NW 5TH ST",
"address_2": "100",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172180",
"telephone_number": "954-581-1581",
"fax_number": "954-581-0543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ER URGENT CARE & DIAGNOSTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-15",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "EUGENE",
"authorized_official_first_name": "JEAN MARIE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-581-1581",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9049",
"primary": false
},
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME43064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.