Organization Active NPI

Holy Cross Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1306261680
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME42167 Issued in FL
Legal business name
HOLY CROSS URGENT CARE, INC.
Practice address
3601 W Commercial Blvd
Suite 19
Ft Lauderdale, FL 33309-3300
Phone
(954) 530-2653
Fax
(954) 533-2933
NPI assigned
Feb 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Moulton Keane, MD
Title
Medical Doctor
Phone
(954) 530-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME42167 FL Primary

Addresses

Primary practice location

3601 W Commercial Blvd
Suite 19
Ft Lauderdale, FL 33309-3300

Mailing address

3601 W Commercial Blvd
Suite 19
Ft Lauderdale, FL 33309-3300
Phone (954) 530-2653

National Provider Directory

National Provider Directory

Locations

3601 W Commercial Blvd
Ste 19
Ft Lauderdale, FL 33309
Phone (954) 530-2653

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1306261680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 19",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-530-2653",
            "fax_number": "954-533-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 19",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-530-2653",
            "fax_number": "954-533-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "MOULTON",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-530-2653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME42167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.