LIGHTHOUSE POINT OB/GYNPLLC NPI 1780906339

NPI Information

  • NPI: 1780906339
  • Provider Name: LIGHTHOUSE POINT OB/GYN,PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 601 E SAMPLE RD
    SUITE 103
    POMPANO BEACH, FL
    ZIP 33064
  • Phone: (954) 781-0180

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NPI Details

LIGHTHOUSE POINT OB/GYN,PLLC is a specialist in Pompano Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIGHTHOUSE POINT OB/GYN,PLLC NPI is 1780906339. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 E SAMPLE RD
SUITE 103
POMPANO BEACH, FL
ZIP 33064-443
Phone: (954) 781-0180
Fax: (954) 781-3230

The provider's authorized official is Adib A Chidiac .
The authorized official title is M.d. and has the following contact phone number (954) 781-0180.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 3/4/2010.

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
1174400000XSpecialistME43336FLORIDAYes

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
1370810100MEDICAIDFLORIDA
2E12069MEDICARE 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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