Clid LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CLID LLC

Doing business as

Andres Palacio MD

Practice address

3001 NW 49TH Ave Ste 303
Lauderdale Lakes, FL 33313-7263

Phone

(954) 714-0684

Fax

(954) 714-0684

NPI assigned

Dec 14, 2022

Last updated

Jan 11, 2023By 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

Andres F Palacio, MDNPI 1689866683

Title

Owner

Phone

(786) 685-9171

Specialties & licenses 1

Addresses

Other names 1

• ANDRES PALACIO MD Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Andres Palacio, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lauderdale Lakes, FL
  • NPI 1689866683
  Medicare reassignment NPD Authorized official
• Mitchell Stotland, M.D.

  • Public Health & General Preventive Medicine Physician
  • Pompano Beach, FL
  • NPI 1245612969
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1356053060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 303",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137263",
            "telephone_number": "786-685-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 303",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137263",
            "telephone_number": "954-714-0684",
            "fax_number": "954-714-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-685-9171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDRES PALACIO MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.