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UNIVIDA HALLANDALE MEDICAL CENTER LLC NPI 1366015042


NPI Information

NPI: 1366015042
Provider Name: UNIVIDA HALLANDALE MEDICAL CENTER LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 10D2233282

Address:
2500 E HALLANDALE BEACH BLVD STE QR
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 505-5009
Get Directions

UNIVIDA HALLANDALE MEDICAL CENTER LLC is an adult medicine family medicine in Hallandale Beach, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. UNIVIDA HALLANDALE MEDICAL CENTER LLC NPI is 1366015042. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 E HALLANDALE BEACH BLVD STE QR
HALLANDALE BEACH, FL
ZIP 33009-834
Phone: (954) 505-5009
Fax: (786) 677-0104

The provider's authorized official is Hermann J Lange .
The authorized official title is Sr Mem and has the following contact phone number (954) 505-5009.

The CLIA number assigned to this NPI record is 10D2233282 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2021 and was last updated on 7/21/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

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: 5/5/2024

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