Organization Active NPI

Las Olas Urgent Care

  • Emergency Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1174743744
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LAS OLAS URGENT CARE
Practice address
2607 NE 10TH Ave
Wilton Manors, FL 33334-3707
Phone
(954) 763-1230
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Jeannette Garzon
Title
Practice Administrator
Phone
(954) 763-1230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

2607 NE 10TH Ave
Wilton Manors, FL 33334-3707

Mailing address

2607 NE 10TH Ave
Wilton Manors, FL 33334-3707
Phone (954) 763-1230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1174743744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NE 10TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343707",
            "telephone_number": "954-763-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 NE 10TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343707",
            "telephone_number": "954-763-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS OLAS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "GARZON",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-763-1230"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.