| Organization Name: | WEST BOYNTON URGENT CARE, LLC |
| NPI Number: | 1003172628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Mailing Address: | 8756 Boynton Beach Blvd Suite 150 Boynton Beach |
| State: | FL US |
| Postal Code: | 334724437 |
| Phone Number: | 5617402273 |
| Fax Number: | 5613698678 |
| NPI Enumeration Date: | 04/09/2012 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |