# CITI-MD URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063989333
- **Authorized official:** DR. THEOPHILUS OKEKE MD (OWNER)
- **Authorized official phone:** (954) 530-1529

## Contact information

- **Practice address:** 4825 SW 148TH AVE, DAVIE, FL 33330-2129
- **Practice address phone:** (954) 530-1529
- **Practice address fax:** (954) 626-0547
- **Mailing address:** 4825 SW 148TH AVE, DAVIE, FL 33330-2129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2018
- **Last updated:** 09/09/2019