Organization Active NPI

Lauderhill Medical Clinic Inc

  • Multi-Specialty Clinic/Center
  • Oakland Park, FL
National Provider Identifier
1134248602
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LAUDERHILL MEDICAL CLINIC INC
Practice address
2764 W Oakland Park Blvd
Oakland Park, FL 33311-1336
Phone
(954) 486-9009
Fax
(954) 486-0907
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Adams
Title
President
Phone
(954) 486-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2764 W Oakland Park Blvd
Oakland Park, FL 33311-1336

Mailing address

2764 W Oakland Park Blvd
Oakland Park, FL 33311-1336
Phone (954) 486-9009

National Provider Directory

National Provider Directory

Locations

5548 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 486-9009

2764 W Oakland Park Blvd
Oakland Park, FL 33311
Phone (954) 486-9009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1134248602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 W OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111336",
            "telephone_number": "954-486-9009",
            "fax_number": "954-486-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 W OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111336",
            "telephone_number": "954-486-9009",
            "fax_number": "954-486-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERHILL MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-486-9009"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.