Organization
CMD URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLOW HERNANDEZ (PRESIDENT)
(954) 538-6868
Entity
Organization
Contact information
Practice address
678 N UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024
(954) 538-6868
(954) 538-6850
Mailing address
678 N UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024
(954) 538-6868
(954) 538-6850
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P09000090414
DOCUMENT NUMBER OF CORPORATION
—
Enumeration date
11/11/2009
Last updated
11/11/2009
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