Active NPI
Citi-MD Urgent Care
- Urgent Care Clinic/Center
- Davie, FL
National Provider Identifier
1063989333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | citimdurgentcare@gmail.com | ||
| CONNECT URL | citimdurgentcare@gmail.com |
National Provider Directory
National Provider DirectoryNPI 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.