Medexpress Urgent Care of Boynton Beach, LLC
Organization Active NPI Urgent Care Clinic/Center · Boynton Beach, FL
NPI 1366544728 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1366544728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- HCC6840 (FL)
- Legal business name
- MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC
- Practice address
- 7593 Boynton Beach Blvd
Suite 190
Boynton Beach, FL 33437-6154 - Phone
- (561) 572-3200
- Fax
- (561) 572-0445
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Practitioners 125
-
Sara Mia Ahmed, ARNP
-
Osvaldo Alvarez, PA-C
-
Ann Andrzejewski, FNP
-
Gregory Dean Baisden, ARNP
-
Julia Barlow-Vorster, APRN
-
Cheryl Ann Browning, ARNP
-
Jesus Cardenas Alvarez, ARNP
-
Tony Chan, PA-C
-
Laurel E Ciccarello, ARNP
-
Don Lawrence Corpus, M.D.
-
Jacqueline Jhovana Dalla Rosa, ARNP-BC
-
Jeanine M Darquea, PA-C
-
Lauren Davis, ARNP
-
Robin Eloise Davis, ARNP
-
James P Davison, D.O
-
Tina M Dochniak, DNP, ARNP
-
Shivani Atul Doshi, PA-C
-
Dina Maria Fedor, ARNP
-
Teaondra M Ford, ARNP
-
Ian S Fried, FNP-BC, INP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000219 | FL | Part B Supplier - Clinic/Group Practice | 7517980832 |
Receives reassigned benefits from 123 practitioners Practice locations: Royal Palm Beach, FL; Palm Beach Gardens, FL; Coral Springs, FL; Boynton Beach, FL; Boca Raton, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | HCC6840 | FL | Yes |
Addresses
Primary practice location
7593 Boynton Beach Blvd
Suite 190
Boynton Beach, FL 33437-6154
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019552300 | Medicaid | FL |
Other names
- MedExpress Urgent Care - Boynton Beach
Other providers in Boynton Beach, FL
- Med-Pro Medical Group Inc
- Med-Tech Services of Palm Beach, Inc.
- Medcare Now LLC
- Rachel Mederos Bada
- Medexpess Urgent Care of Boynton BCH LLC
- Medfund LLC
- Medi-Care Home Health LLC
- Jenivieve Marie Mediavilla
- Medic Partners LLC
- Medical Access Point LLC
All providers in Boynton Beach, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.