# CONQUEST MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1659177327
- **Authorized official:** DR. RONEL DESROSIERS MD (OWNER)
- **Authorized official phone:** (954) 824-9800

## Contact information

- **Practice address:** 4640 N FEDERAL HWY STE F, FORT LAUDERDALE, FL 33308-5205
- **Practice address phone:** (954) 824-8900
- **Mailing address:** 4640 N FEDERAL HWY STE F, FORT LAUDERDALE, FL 33308-5205
- **Mailing address phone:** (954) 824-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025