Organization Active NPI

Urgent Care of Wilton Manors

  • Urgent Care Clinic/Center
  • Wilton Manors, FL
National Provider Identifier
1982932075
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME 82806 Issued in FL
Legal business name
URGENT CARE OF WILTON MANORS
Practice address
2607 NE 10TH Ave
Wilton Manors, FL 33334-3707
Phone
(954) 763-1230
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Jeannette Garzon, RN
Title
Practice Manager
Phone
(954) 763-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME 82806 FL Primary

Addresses

Primary practice location

2607 NE 10TH Ave
Wilton Manors, FL 33334-3707

Mailing address

2607 NE 10TH Ave
Wilton Manors, FL 33334-3707

National Provider Directory

National Provider Directory

Locations

2607 NE 10th Ave
Wilton Manors, FL 33334
Phone (954) 592-4083

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1982932075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NE 10TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 NE 10TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343707",
            "telephone_number": "954-763-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF WILTON MANORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "GARZON",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "954-763-1230",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME 82806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.