Organization Active NPI

Complete Urgent Healthcare LLC

Doing business as Boca Regional Urgent Care

  • Urgent Care Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1851687321
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COMPLETE URGENT HEALTHCARE LLC
Doing business as
Boca Regional Urgent Care
Practice address
20665 Lyons Rd
#A3
Boca Raton, FL 33434-3947
Phone
(561) 309-7815
NPI assigned
Jun 23, 2011
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Evan Goldstein, MD
Title
President
Phone
(561) 309-7815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X FL
Urgent Care Clinic/Center 261QU0200X FL Primary

Addresses

Primary practice location

20665 Lyons Rd
#A3
Boca Raton, FL 33434-3947

Mailing address

20665 Lyons Rd
#A3
Boca Raton, FL 33434-3947
Phone (561) 309-7815

Other names 1

  • Boca Regional Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

20665 Lyons Rd
Ste A3
Boca Raton, FL 33434
Phone (561) 309-7815

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1851687321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20665 LYONS RD",
            "address_2": "#A3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343947",
            "telephone_number": "561-309-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20665 LYONS RD",
            "address_2": "#A3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343947",
            "telephone_number": "561-309-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE URGENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-309-7815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Regional Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.