Fort Lauderdale Medical Center, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT17639 Issued in FL

Legal business name

FORT LAUDERDALE MEDICAL CENTER, INC

Practice address

4825 N Dixie Hwy
Oakland Park, FL 33334-3928

Phone

(754) 900-2410

Fax

(954) 840-8254

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John C Monaco, OWNER

Title

President

Phone

(754) 900-2410

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donella Celeste Massola, PTA

  • Physical Therapy Assistant
  • Davie, FL
  • NPI 1972254373
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1174062566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343928",
            "telephone_number": "754-900-2410",
            "fax_number": "954-840-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343928",
            "telephone_number": "754-900-2410",
            "fax_number": "954-840-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-900-2410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT17639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "ME60132",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fme Solutions LLC (Garden Medical Supplies)
• Forever Medical Supplies LLC
• Forever Young BHRT LLC
• Fort Lauderdale Hospital Inc. (Fort Lauderdale Behavioral Health Center)
• Fort Lauderdale Hospital Inc. (Fort Lauderdale Behavioral Health Center)
• Fort Lauderdale Pharmacy LLC (La Pharmacie du Soleil)
• Fort Lauderdale Womens Center LLC
• Jean-Marcel Forte, P.A.
• Foundations of South Florida
• Joshua Keith Fowler, D.O.

• Physical Therapy Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.