Organization Active NPI

Gibson Healthcare Enterprises Inc

Doing business as Premier Urgent Care Center

  • Urgent Care Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1174829519
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GIBSON HEALTHCARE ENTERPRISES INC
Doing business as
Premier Urgent Care Center
Practice address
2400 W Sample Rd
Suite 4
Pompano Beach, FL 33073-3062
Phone
(954) 580-1036
Fax
(954) 580-1099
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Xunda A Gibson, M.D.
Title
Vice President
Phone
(954) 580-1036

Specialties & licenses 1

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

Addresses

Primary practice location

2400 W Sample Rd
Suite 4
Pompano Beach, FL 33073-3062

Mailing address

2400 W Sample Rd
Suite 4
Pompano Beach, FL 33073-3062
Phone (954) 580-1036

Other names 1

  • Premier Urgent Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2400 W Sample Rd
Ste 4
Pompano Beach, FL 33073
Phone (954) 580-1036

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1174829519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W SAMPLE RD",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733062",
            "telephone_number": "954-580-1036",
            "fax_number": "954-580-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W SAMPLE RD",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733062",
            "telephone_number": "954-580-1036",
            "fax_number": "954-580-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON HEALTHCARE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "XUNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-580-1036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.