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POMPANO BEACH MEDICAL CORP NPI 1457646051


NPI Information

NPI: 1457646051
Provider Name: POMPANO BEACH MEDICAL CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
750 E SAMPLE RD
BLDG 1 UNIT 5
POMPANO BEACH, FL
ZIP 33064
Phone: (954) 601-2974
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POMPANO BEACH MEDICAL CORP is a general practice in Pompano Beach, 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 POMPANO BEACH MEDICAL CORP NPI is 1457646051. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

750 E SAMPLE RD
BLDG 1 UNIT 5
POMPANO BEACH, FL
ZIP 33064-144
Phone: (954) 601-2974
Fax: (954) 783-1080

The provider's authorized official is Steven A Edson .
The authorized official title is Owner and has the following contact phone number (954) 601-2974.

The enumeration date for this NPI number is 6/13/2011 and was last updated on 12/21/2011.


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

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

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