Active NPI
Forever Young BHRT LLC
- Clinic/Center
- Oakland Park, FL
National Provider Identifier
1356165773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FOREVER YOUNG BHRT LLC
- Practice address
- 4101 N Andrews Ave Ste 302
Oakland Park, FL 33309-4776 - Phone
- (786) 343-0905
- NPI assigned
- Nov 12, 2024
- Last updated
- Nov 12, 2024
- 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
- Eliover Leiva
- Title
- Owner
- Phone
- (786) 343-0905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4101 N Andrews Ave Ste 302
Oakland Park, FL 33309-4776
Mailing address
4101 N Andrews Ave Ste 302
Oakland Park, FL 33309-4776
Phone (786) 343-0905
National Provider Directory
National Provider DirectoryLocations
4101 N Andrews Ave
Ste 302
Oakland Park, FL 33309
Phone (786) 343-0905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1356165773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ANDREWS AVE STE 302",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333094776",
"telephone_number": "786-343-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N ANDREWS AVE STE 302",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333094776",
"telephone_number": "786-343-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREVER YOUNG BHRT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "LEIVA",
"authorized_official_first_name": "ELIOVER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-343-0905"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
- Florida Kidney and Hypertension Care PA
- Florida Rehabilitation Center of Broward County Inc
- Flourish Virtual Health Clinic
- Fme Solutions LLC (Garden Medical Supplies)
- Forever Medical Supplies LLC
- Fort Lauderdale Hospital Inc. (Fort Lauderdale Behavioral Health Center)
- Fort Lauderdale Hospital Inc. (Fort Lauderdale Behavioral Health Center)
- Fort Lauderdale Medical Center, Inc
- Fort Lauderdale Pharmacy LLC (La Pharmacie du Soleil)
- Fort Lauderdale Womens Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.