BERMUDEZ MEDICAL GROUP LLC. NPI 1700396637

NPI Information

NPI: 1700396637
Provider Name: BERMUDEZ MEDICAL GROUP, LLC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 10D2135592

Address:
2601 DAVIE BLVD STE B
FORT LAUDERDALE, FL
ZIP 33312
Phone: (305) 300-5501
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BERMUDEZ MEDICAL GROUP, LLC. is an adult medicine family medicine in Fort Lauderdale, FL. The provider is definition to come. BERMUDEZ MEDICAL GROUP, LLC. NPI is 1700396637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2601 DAVIE BLVD STE B
FORT LAUDERDALE, FL
ZIP 33312-029
Phone: (305) 300-5501
Fax: (305) 383-7408

The provider's authorized official is Lidia Rosa Bermudez .
The authorized official title is M.d. and has the following contact phone number (305) 300-5501.

The CLIA number assigned to this NPI record is 10D2135592 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

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
1	207QA0505X	Family Medicine	Adult Medicine			Yes

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: 11/14/2023

NPI Synchronization or Removal

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