NPIMap

Organization Active NPI

MD Urgent Care Walk-in Clinic Inc.

  • Urgent Care Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1417399551
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
HCC10695 Issued in FL
Legal business name
MD URGENT CARE WALK-IN CLINIC INC.
Practice address
7104 S Military TRL
Lake Worth, FL 33463-7812
Phone
(561) 969-3710
Fax
(561) 969-3811
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Nerlande Estinable
Title
Director
Phone
(561) 969-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X HCC10695 FL Primary

Addresses

Primary practice location

7104 S Military TRL
Lake Worth, FL 33463-7812

Mailing address

7104 S Military TRL
Lake Worth, FL 33463-7812
Phone (561) 969-3710

National Provider Directory

National Provider Directory

Locations

7104 S Military Trl
Lake Worth, FL 33463
Phone (561) 969-3710

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1417399551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 S MILITARY TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637812",
            "telephone_number": "561-969-3710",
            "fax_number": "561-969-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 S MILITARY TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637812",
            "telephone_number": "561-969-3710",
            "fax_number": "561-969-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD URGENT CARE WALK-IN CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "ESTINABLE",
        "authorized_official_first_name": "NERLANDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-969-3710"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "HCC10695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.