M ANGELA MADDEN LLC NPI 1548515968

NPI Information

  • NPI: 1548515968
  • Provider Name: M ANGELA MADDEN LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 10D0284232
  • Address: 1130 BAYVIEW DR
    FORT LAUDERDALE, FL
    ZIP 33304
  • Phone: (954) 563-3158

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NPI Details

M ANGELA MADDEN LLC is an internal medicine in Fort Lauderdale, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. M ANGELA MADDEN LLC NPI is 1548515968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 BAYVIEW DR
FORT LAUDERDALE, FL
ZIP 33304-505
Phone: (954) 563-3158
Fax: (954) 563-5874

The provider's authorized official is Mary A Madden .
The authorized official title is Doctor and has the following contact phone number (954) 563-3158.

The CLIA number assigned to this NPI record is 10D0284232 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2012 and was last updated on 8/2/2012.

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
1207R00000XInternal MedicineME79511FLORIDAYes

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
10001185OTHERFLORIDAAARP MEDICARE COMPLETE
251661OTHERFLORIDAMEDICARE
3CK2070OTHERGEORGIARAILROAD MEDICARE
4F00219567801OTHERNEIGHBORHOOD HEALTH
50463133OTHERFLORIDAAETNA
6H24212MEDICARE UPINFLORIDA

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: 11/21/2025

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