Organization Name: | MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC |
NPI Number: | 1083970867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIM BUGIN (VP OF PAYOR CONTRACTING) |
Mailing Address: | 1021 N State Road 7 Royal Palm Beach |
State: | FL US |
Postal Code: | 334115117 |
Phone Number: | 5613339331 |
Fax Number: | 5617922918 |
NPI Enumeration Date: | 04/06/2012 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | HCC5468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |