FLORIDA PRACTITIONERS LLC NPI 1528456548

NPI Information

  • NPI: 1528456548
  • Provider Name: FLORIDA PRACTITIONERS, LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 1995 E OAKLAND PARK BLVD STE 250
    FT LAUDERDALE, FL
    ZIP 33306
  • Phone: (615) 657-4805

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NPI Details

FLORIDA PRACTITIONERS, LLC is a surgical physician assistant in Ft Lauderdale, FL. FLORIDA PRACTITIONERS, LLC NPI is 1528456548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1995 E OAKLAND PARK BLVD STE 250
FT LAUDERDALE, FL
ZIP 33306-149
Phone: (615) 657-4805
Fax: (954) 337-2733

The provider's authorized official is John Tobias Gray .
The authorized official title is Ceo and has the following contact phone number (954) 791-6146.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 6/23/2020.

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
1363AS0400XPhysician AssistantSurgicalPA3649FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020654300MEDICAIDFLORIDA

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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