Provider Demographics
NPI:1023323136
Name:BROWARD URGENT CARE INC.
Entity type:Organization
Organization Name:BROWARD URGENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPONSIBLE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-761-3660
Mailing Address - Street 1:1409 SE 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1805
Mailing Address - Country:US
Mailing Address - Phone:954-761-3660
Mailing Address - Fax:954-761-3785
Practice Address - Street 1:1409 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1805
Practice Address - Country:US
Practice Address - Phone:954-761-3660
Practice Address - Fax:954-761-3785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty