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Y MEDICAL GROUP LLC NPI 1881062420


NPI Information

NPI: 1881062420
Provider Name: Y MEDICAL GROUP, LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 10D2108879

Address:
915 MIDDLE RIVER DR
SUITE 114
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 368-0888
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Y MEDICAL GROUP, LLC is an addiction medicine psychiatry neurology in Fort Lauderdale, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Y MEDICAL GROUP, LLC NPI is 1881062420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

915 MIDDLE RIVER DR
SUITE 114
FORT LAUDERDALE, FL
ZIP 33304-544
Phone: (954) 368-0888
Fax: (954) 212-2227

The provider's authorized official is Marshall Geisser .
The authorized official title is Ceo and has the following contact phone number (954) 368-0888.

The CLIA number assigned to this NPI record is 10D2108879 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes

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

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