PALM MEDICAL CENTER PLANTATION LLC NPI 1417458464

NPI Information

PALM MEDICAL CENTER PLANTATION, LLC is a clinic center in Plantation, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PALM MEDICAL CENTER PLANTATION, LLC NPI is 1417458464. The provider is registered as an organization entity type.

The provider's business location address is:

6971 W SUNRISE BLVD STE 105-106
PLANTATION, FL
ZIP 33313-407
Phone: (954) 583-3500

The provider's authorized official is Juan M Ortiz .
The authorized official title is Ceo and has the following contact phone number (305) 913-9444.

The CLIA number assigned to this NPI record is 10D0858610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2018 and was last updated on 6/11/2019.

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:

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