Provider Demographics
NPI:1144464298
Name:URGENT CARE AT SAWGRASS INC
Entity type:Organization
Organization Name:URGENT CARE AT SAWGRASS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-514-8981
Mailing Address - Street 1:12651 W SUNRISE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-0906
Mailing Address - Country:US
Mailing Address - Phone:954-514-8981
Mailing Address - Fax:954-514-8982
Practice Address - Street 1:12651 W SUNRISE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-0906
Practice Address - Country:US
Practice Address - Phone:954-514-8981
Practice Address - Fax:954-514-8982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care