Provider Demographics
NPI:1578335295
Name:UMG HEALTHCARE PLLC
Entity type:Organization
Organization Name:UMG HEALTHCARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:URI
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-823-7180
Mailing Address - Street 1:PO BOX 12119
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-2119
Mailing Address - Country:US
Mailing Address - Phone:561-823-7180
Mailing Address - Fax:561-823-7248
Practice Address - Street 1:9445 HARDING AVE
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2803
Practice Address - Country:US
Practice Address - Phone:561-823-7180
Practice Address - Fax:561-823-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty