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OLYMPUS MEDICAL CENTER INC NPI 1619209590


NPI Information

NPI: 1619209590
Provider Name: OLYMPUS MEDICAL CENTER INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
17901 NW 5TH ST
SUITE 103
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 442-8380
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OLYMPUS MEDICAL CENTER INC is a medical specialty clinic center in Pembroke Pines, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). OLYMPUS MEDICAL CENTER INC NPI is 1619209590. The provider is registered as an organization entity type.

The provider's business location address is:

17901 NW 5TH ST
SUITE 103
PEMBROKE PINES, FL
ZIP 33029-810
Phone: (954) 442-8380

The provider's authorized official is Mario Eugenio Litano .
The authorized official title is President/owner and has the following contact phone number (305) 827-3303.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 1/3/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyME90210FLORIDAYes

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: 5/5/2024

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