Organization Name: | UNIVERSITY PRIMARY AND URGENT CARE LLC |
NPI Number: | 1003207432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA RICCARDO (OFFICE MANAGER) |
Mailing Address: | 5441 N University Dr Suite 101 Coral Springs |
State: | FL US |
Postal Code: | 330674640 |
Phone Number: | 9547533910 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2015 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |