MDESARMES LLC DBA RENAISSANCE CLINIC NPI 1831058551

NPI Information

  • NPI: 1831058551
  • Provider Name: MDESARMES LLC DBA RENAISSANCE CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6565 TAFT ST STE 300
    HOLLYWOOD, FL
    ZIP 33024
  • Phone: (561) 576-3074

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NPI Details

MDESARMES LLC DBA RENAISSANCE CLINIC is a family medicine in Hollywood, 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. MDESARMES LLC DBA RENAISSANCE CLINIC NPI is 1831058551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6565 TAFT ST STE 300
HOLLYWOOD, FL
ZIP 33024-044
Phone: (561) 576-3074
Fax: (561) 557-7380

The provider's authorized official is Michelle Rose-marie Desarmes .
The authorized official title is Owner and has the following contact phone number (561) 576-3074.

The enumeration date for this NPI number is 1/19/2026 and was last updated on 1/21/2026.

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
1207Q00000XFamily MedicineYes

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
11386188407MEDICAIDFLORIDA

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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