Organization Active NPI

Citi-MD Urgent Care

  • Urgent Care Clinic/Center
  • Davie, FL
National Provider Identifier
1063989333
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITI-MD URGENT CARE
Practice address
4825 SW 148TH Ave
Davie, FL 33330-2129
Phone
(954) 530-1529
Fax
(954) 626-0547
NPI assigned
Oct 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Dr. Theophilus Okeke, MD
Title
Owner
Phone
(954) 530-1529

Specialties & licenses 1

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

Addresses

Primary practice location

4825 SW 148TH Ave
Davie, FL 33330-2129

Mailing address

4825 SW 148TH Ave
Davie, FL 33330-2129

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL citimdurgentcare@gmail.com
CONNECT URL citimdurgentcare@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1063989333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-530-1529",
            "fax_number": "954-626-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI-MD URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-530-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "citimdurgentcare@gmail.com",
            "affiliation": "N",
            "address_1": "4825 SW 148th Ave",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333302129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "citimdurgentcare@gmail.com",
            "affiliation": "N",
            "address_1": "4825 SW 148th Ave",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333302129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.