Active NPI
Lords Medical Group
- Physical Medicine & Rehabilitation Physician
- Pompano Beach, FL
National Provider Identifier
1154917706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- LORDS MEDICAL GROUP
- Practice address
- 661 SW 3Rd Ave
Pompano Beach, FL 33060-8384 - Phone
- (954) 771-3685
- Fax
- (954) 771-3685
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Allen Middleton, D.C.
- Title
- President
- Phone
- (954) 771-3685
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
661 SW 3Rd Ave
Pompano Beach, FL 33060-8384
Mailing address
661 SW 3Rd Ave
Pompano Beach, FL 33060-8384
Phone (954) 771-3685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551532 | Medicaid | FL |
Other names 1
- Lords Medical Group
National Provider Directory
National Provider DirectoryLocations
3077 E Commercial Blvd
Fort Lauderdale, FL 33308
Phone (954) 771-3685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1154917706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 SW 3RD AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330608384",
"telephone_number": "954-771-3685",
"fax_number": "954-771-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 SW 3RD AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330608384",
"telephone_number": "954-771-3685",
"fax_number": "954-771-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORDS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2021-09-13",
"certification_date": "2021-09-12",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-771-3685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "551532",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lords Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lords Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.