| South Florida Urgent Care Centers, Llc | |
|
302 Nw 179th Ave 103 Pembroke Pines FL 33029-2818 | |
| (954) 442-8380 | |
| (954) 442-8661 |
| Full Name | South Florida Urgent Care Centers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Nw 179th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ausberto B Hidalgo (OWNER) |
| Authorized Official Contact | 9544428380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Urgent Care Centers, Llc 302 Nw 179th Ave 103 Pembroke Pines FL 33029-2818 Ph: (954) 442-8380 | South Florida Urgent Care Centers, Llc 302 Nw 179th Ave 103 Pembroke Pines FL 33029-2818 Ph: (954) 442-8380 |
| NPI Number | 1770825077 |
|---|---|
| Provider Enumeration Date | 03/25/2013 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 4981972429 |
|---|---|
| Medicare Enrollment ID | O20170624000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770825077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Ausberto B Hidalgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144385592 PECOS PAC ID: 5597651760 Enrollment ID: I20080922000355 |
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