Organization Name: | IMMEDIATE HEALTH CARE CENTERS INC |
NPI Number: | 1124469697 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHEL F JACQUES (OWNER) |
Mailing Address: | 2500 E Hallandale Beach Blvd Suite T Hallandale Beach |
State: | FL US |
Postal Code: | 330094834 |
Phone Number: | 9544574800 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2013 |
NPI Last Update Date: | 07/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | ME32051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |