Provider Demographics
NPI:1194203810
Name:ADVANCE URGENT CARE
Entity type:Organization
Organization Name:ADVANCE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-1302
Mailing Address - Street 1:1827 W HILLSBORO BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1442
Mailing Address - Country:US
Mailing Address - Phone:954-900-6695
Mailing Address - Fax:954-378-9008
Practice Address - Street 1:1827 W HILLSBORO BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442
Practice Address - Country:US
Practice Address - Phone:954-900-6695
Practice Address - Fax:954-378-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care