PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC. (NPI# 1194101618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194101618 |
| Entity Type | Organization |
| Organization Name | PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC. |
| Practice Address |
4101 Nw 3rd Ct Suite 3 Plantation FL 33317-2857 |
| Practice Telephone | 9545309280 |
| Practice Fax Number | 9545331024 |
| Mailing Telephone | 9545309280 |
| Mailing Fax Number | 9545331024 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | OLLIE ROYSTER (MANAGER) |
| Authorized Official Telephone | 9545309280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | OS1505 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME79405 | FL | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OS1505 | FL | Ambulatory Health Care Facilities |
| Street Address |
4101 NW 3RD CT SUITE 3 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265067 | Patrick Reme | Internal Medicine | 4101 Nw 3rd Ct, Suite 9, Plantation, FL 33317-2857 | 2005-09-12 |
| 1093213662 | Can Community Health Inc. | Pharmacy | 4101 Nw 3rd Ct, Unit 9, Plantation, FL 33317-2857 | 2018-01-29 |
| 1083899280 | Galen Obgyn Group, LLC | Family Medicine | 4101 Nw 3rd Ct, Suite 10, Plantation, FL 33317-2857 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326480062 | Md Now Medical Centers, Inc. | Clinic/Center | 7007 W Broward Blvd, Plantation, FL 33317-2208 | 2013-07-23 |
| 1780922716 | North Broward Hospital District | Clinic/Center | 1811 N. Pine Island Road, Plantation, FL 33322 | 2013-01-25 |
| 1770842296 | Urgent Med Plantation Inc. | Clinic/Center | 10199 Cleary Blvd Ste 10, Plantation, FL 33324-1029 | 2012-05-04 |
| 1780853671 | Houston Healthcare Services, LLC | Clinic/Center | 1368 North University Drive, Plantation, FL 33322-4734 | 2008-02-25 |
| 1568640811 | Doctors Now Urgent Care Medical Center of Plantation, LLC | Clinic/Center | 1368 N University Dr, Plantation, FL 33322-4734 | 2008-02-07 |
| 1124668983 | Md Now Medical Centers Inc | Clinic/Center | 901 S State Road 7, Plantation, FL 33317-4522 | 2020-01-09 |
| 1497232581 | American Current Care P.a . | Clinic/Center | 7676 Peters Rd Ste C, Plantation, FL 33324-4032 | 2018-07-23 |
| 1598105579 | Cleveland Urgent Care & Podiatrist Group, Inc. | Clinic/Center | 4141 Nw 5th St, 100, Plantation, FL 33317-2180 | 2013-07-05 |
| 1376989848 | Laxmi Health LLC | Clinic/Center | 901 S State Road 7, Plantation, FL 33317-4522 | 2013-05-10 |
| 1205169471 | Hhs Holding Group LLC | Clinic/Center | 1368 N University Dr, Plantation, FL 33322-4734 | 2009-09-04 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.