PRACTITIONER MEDICAL SERVICES INC NPI 1548545601

NPI Information

  • NPI: 1548545601
  • Provider Name: PRACTITIONER MEDICAL SERVICES INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 3075 NW 35TH AVE
    LAUDERDALE LAKES, FL
    ZIP 33311
  • Phone: (561) 843-2325

Map and Directions

Get Directions

NPI Details

PRACTITIONER MEDICAL SERVICES INC is a primary care clinic center in Lauderdale Lakes, FL. PRACTITIONER MEDICAL SERVICES INC NPI is 1548545601. The provider is registered as an organization entity type.

The provider's business location address is:

3075 NW 35TH AVE
LAUDERDALE LAKES, FL
ZIP 33311-107
Phone: (561) 843-2325
Fax: (561) 483-6266

The provider's authorized official is Marie Michelle Carner .
The authorized official title is President and has the following contact phone number (561) 843-2325.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 9/6/2012.

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
1261QP2300XClinic/CenterPrimary CareP11000009589FLORIDAYes

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
1FO938AMEDICARE PINFLORIDA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI