LATINO MEDICAL CENTER III INC NPI 1477047058

NPI Information

  • NPI: 1477047058
  • Provider Name: LATINO MEDICAL CENTER III, INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: LATINO MEDICAL CENTER III, INC
  • CLIA Number: 10D2209189
  • Address: 3670 W OAKLAND BLVD
    LAUDERDALE LAKES, FL
    ZIP 33311
  • Phone: (954) 716-6101

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NPI Details

LATINO MEDICAL CENTER III, INC is a general practice in Lauderdale Lakes, 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 LATINO MEDICAL CENTER III, INC NPI is 1477047058. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Latino Medical Center Iii, Inc.

The provider's business location address is:

3670 W OAKLAND BLVD
LAUDERDALE LAKES, FL
ZIP 33311
Phone: (954) 716-6101
Fax: (954) 533-4634

The provider's authorized official is Rodney Joseph .
The authorized official title is President and has the following contact phone number (305) 947-4499.

The CLIA number assigned to this NPI record is 10D2209189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 3/6/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeFLORIDAYes

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: 3/30/2025

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