West Boynton Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WEST BOYNTON URGENT CARE, LLC

Practice address

18706 NW 67TH Ave
Hialeah, FL 33015-2408

Phone

(786) 563-0280

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Sierra Manning

Title

Credentialing Coordinator

Phone

(904) 900-5436

Specialties & licenses 1

Addresses

Other names 1

• Miami Gardens Doing business as

Tax ID family

Carespot-Wellington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• West Boynton Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1912673344
  NPD tax ID

Locations

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1114693553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18706 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152408",
            "telephone_number": "786-563-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOYNTON URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "904-900-5436"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.