| Medpro Urgent Care Center, Inc | |
|
2950 Griffin Rd Fort Lauderdale FL 33312-5648 | |
| (954) 924-6151 | |
| Not Available |
| Full Name | Medpro Urgent Care Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2950 Griffin Rd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Aneta Dadasheva (PRESIDENT) |
| Authorized Official Contact | 9549246151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpro Urgent Care Center, Inc 2950 Griffin Rd Fort Lauderdale FL 33312-5648 Ph: (954) 924-6151 | Medpro Urgent Care Center, Inc 2950 Griffin Rd Fort Lauderdale FL 33312-5648 Ph: (954) 924-6151 |
| NPI Number | 1720439557 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 5193008670 |
|---|---|
| Medicare Enrollment ID | O20170207001546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720439557 | NPI | - | NPPES |
| 1942335492 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS10911 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Adriene Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003897737 PECOS PAC ID: 9436274172 Enrollment ID: I20100917000418 |
| Provider Name | Samantha S Jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922650159 PECOS PAC ID: 0941538995 Enrollment ID: I20190829002865 |
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