Organization Active NPI

South Florida Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1053660233
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTH FLORIDA URGENT CARE, LLC
Practice address
5590 W 20 Ave
103
Hialeah, FL 33012
Phone
(305) 827-3303
Fax
(305) 819-6634
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mike R Moya
Title
Credentialing Rep
Phone
(786) 301-0845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FL Primary

Addresses

Primary practice location

5590 W 20 Ave
103
Hialeah, FL 33012

Mailing address

5590 W 20 Ave
103
Hialeah, FL 33012
Phone (305) 827-3303

National Provider Directory

National Provider Directory
Tax ID family
South Florida Urgent Care Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5590 W 20th Ave
#103
Hialeah, FL 33016
Phone (305) 827-3303

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1053660233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W 20 AVE",
            "address_2": "103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-827-3303",
            "fax_number": "305-819-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W 20 AVE",
            "address_2": "103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-827-3303",
            "fax_number": "305-819-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING REP",
        "authorized_official_telephone_number": "786-301-0845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.