Active NPI
Mattlaure Industries, LLC
- Internal Medicine Physician
- Wellington, FL
National Provider Identifier
1285481739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MATTLAURE INDUSTRIES, LLC
- Practice address
- 3319 S State Road 7 Ste 113
Wellington, FL 33449-8099 - Phone
- (561) 422-1003
- Fax
- (561) 422-1003
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- Organization subpart
- Yes
- Parent organization
- ANITA GARIB-SANKAR, MD PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danielle Malone
- Title
- Om
- Phone
- (561) 422-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3319 S State Road 7 Ste 113
Wellington, FL 33449-8099
Mailing address
3319 S State Road 7 Ste 113
Wellington, FL 33449-8099
Phone (561) 422-1003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269259700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Anita Garib-Sankar M D P a
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Preferred Provider Organization
- Wellington, FL
- NPI 1013104645
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Wellington, FL
- NPI 1801841192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1285481739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 S STATE ROAD 7 STE 113",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498099",
"telephone_number": "561-422-1003",
"fax_number": "561-422-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 S STATE ROAD 7 STE 113",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498099",
"telephone_number": "561-422-1003",
"fax_number": "561-422-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTLAURE INDUSTRIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANITA GARIB-SANKAR, MD PA",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OM",
"authorized_official_telephone_number": "561-422-1003",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269259700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.