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CLEOPATRA GORDON PUSEY MD P.A. NPI 1740502228


NPI Information

NPI: 1740502228
Provider Name: CLEOPATRA GORDON PUSEY, MD P.A.

Doing Business As: LIFE IS BEAUTIFUL, MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2076249

Address:
700 N HIATUS RD
SUITE 213
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 392-9026
Get Directions

CLEOPATRA GORDON PUSEY, MD P.A. is a family medicine in Pembroke Pines, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEOPATRA GORDON PUSEY, MD P.A. NPI is 1740502228. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Life Is Beautiful, Md.

The provider's business location address is:

700 N HIATUS RD
SUITE 213
PEMBROKE PINES, FL
ZIP 33026-206
Phone: (954) 392-9026
Fax: (954) 357-2353

The provider's authorized official is Cleopatra Tamaria Gordon Pusey .
The authorized official title is President and has the following contact phone number (954) 392-9026.

The CLIA number assigned to this NPI record is 10D2076249 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 2/28/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineFLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AL094WMEDICARE PINFLORIDA
2DC471AMEDICARE PINFLORIDA
3146LMOTHERFLORIDABCBS
4311776OTHERFLORIDAAVMED
5281390401MEDICAIDFLORIDA
6281390402MEDICAIDFLORIDA
7281390400MEDICAIDFLORIDA

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

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.