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Organization
MEDEXA LLC
Active
Organization
MEDEXA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN PARKER (OWNER)
(971) 314-2900
Entity
Organization
Contact information
Practice address
10625 SE 362ND AVE UNIT B4, BORING, OR 97009-9741
(971) 314-2900
Mailing address
PO BOX 840523, PEMBROKE PINES, FL 33084-2523
(971) 314-2900
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2026
Last updated
10/15/2026
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