Organization Active NPI

Medpro Urgent Care Center, Inc

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1720439557
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDPRO URGENT CARE CENTER, INC
Practice address
2706 Griffin Rd
Fort Lauderdale, FL 33312-5856
Phone
(954) 544-5917
Fax
(954) 924-1540
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Aneta Dadashev, PACNPI 1942335492
Title
Owner
Phone
(954) 544-5917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X OS10911 FL
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2706 Griffin Rd
Fort Lauderdale, FL 33312-5856

Mailing address

2706 Griffin Rd
Fort Lauderdale, FL 33312-5856
Phone (954) 544-5917

Other identifiers 1

IdentifierTypeStateIssuer
1942335492OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170207001546 FL Part B Supplier - Clinic/Group Practice 5193008670 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL
O20210317002654 FL DME Supplier - Physician - General Practice 5193008670 Practice locations: Fort Lauderdale, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2121684Medpro Urgent Care Center Inc2706 Griffin Rd, Dania Beach, FL 33312Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

2950 Griffin Rd
Ft Lauderdale, FL 33312
Phone (754) 900-8105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1720439557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125856",
            "telephone_number": "954-544-5917",
            "fax_number": "954-924-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125856",
            "telephone_number": "954-544-5917",
            "fax_number": "954-924-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO URGENT CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DADASHEV",
        "authorized_official_first_name": "ANETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-544-5917",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS10911",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942335492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.