Organization Active NPI

Mattlaure Industries, LLC

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1285481739
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ANITA GARIB-SANKAR, MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
269259700MedicaidFL

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.

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.

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.

Verify at the official NPI Registry.