Organization Active NPI

Palmers Urgent Care and Diagnostics Inc

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1083088579
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMERS URGENT CARE AND DIAGNOSTICS INC
Practice address
5409 N State Road 7
Tamarac, FL 33319-2921
Phone
(954) 526-9477
NPI assigned
Nov 20, 2015
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Jean Robert Charlot, M.D
Title
Owner
Phone
(954) 526-9477

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Urgent Care Clinic/Center 261QU0200X ME 79727 FL

Addresses

Primary practice location

5409 N State Road 7
Tamarac, FL 33319-2921

Mailing address

5409 N State Road 7
Tamarac, FL 33319-2921
Phone (954) 526-9477

National Provider Directory

National Provider Directory

Locations

5409 N State Road 7
Tamarac, FL 33319
Phone (786) 567-4850

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1083088579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192921",
            "telephone_number": "954-526-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192921",
            "telephone_number": "954-526-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERS URGENT CARE AND DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "CHARLOT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-526-9477",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME 79727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.