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BUEN PASTOR MEDICAL CENTER NPI 1184232522


NPI Information

NPI: 1184232522
Provider Name: BUEN PASTOR MEDICAL CENTER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4400 SHERIDAN ST STE C
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 882-0191
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BUEN PASTOR MEDICAL CENTER is a general practice in Hollywood, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BUEN PASTOR MEDICAL CENTER NPI is 1184232522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 SHERIDAN ST STE C
HOLLYWOOD, FL
ZIP 33021-514
Phone: (954) 882-0191

The provider's authorized official is Gabriel G Florez .
The authorized official title is President and has the following contact phone number (954) 882-0191.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 5/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HCC12260OTHERFLORIDAAHCA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.