Organization
MEDPRO URGENT CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANETA DADASHEVA (PRESIDENT)
(954) 924-6151
Entity
Organization
Contact information
Practice address
2950 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5648
(954) 924-6151
Mailing address
2950 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5648
(954) 924-6151
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
OS10911
FL
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942335492
NPI
FL
Enumeration date
06/22/2016
Last updated
01/14/2022
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