Southeast Urgent Care Group, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH 4902 Issued in FL

Legal business name

SOUTHEAST URGENT CARE GROUP, INC.

Practice address

1021 Ives Dairy Rd
115
Miami, FL 33179-2537

Phone

(786) 440-5130

Fax

(786) 440-5219

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Henri Douze, D.C.

Title

Owner

Phone

(786) 440-5130

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1831436310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD",
            "address_2": "115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "786-440-5130",
            "fax_number": "786-440-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD",
            "address_2": "115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "786-440-5130",
            "fax_number": "786-440-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST URGENT CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "DOUZE",
        "authorized_official_first_name": "HENRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-440-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 4902",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH 9049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Diagnostic Consultants, LLC
• Southeast Medical Lab Inc
• Southeast Medical Supplies Center Inc
• Southeast Physician Associates 1, LLC.
• Southeast Physician Associates Inc
• Southeast Woundcare Experts LLC
• Southeastern Community Mental Health Center Inc
• Southeastern Dental Associates VI
• Southeastern Med-Service Specialists, Inc.
• Southeastrern Dental Assoc, VII, PA

• Rehabilitation Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.