Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prudential Urgent Care & Diagnostic, Inc

Organization Emergency Medicine Physician · NPI 1194101618

Prudential Urgent Care & Diagnostic, Inc is an Emergency Medicine Physician in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4101 NW 3rd Ct Ste 3
Plantation, FL 33317-2857
Phone: (954) 530-9280
Fax: (954) 533-1024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence OS1505 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS1505 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ME79405 (FL)

Record details

NPI number1194101618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ollie Royster — Manager · (954) 530-9280
NPI enumeratedAugust 6, 2015
Last updated in NPPESFebruary 27, 2017
Mailing address4101 Nw 3rd Ct, Suite 3, Plantation, FL 33317-2857

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