Chen Neighborhood Medical Centers of South Florida, LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Tamarac, FL
NPI 1376211573 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1376211573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
- Practice address
- 7401 W Commercial Blvd
Tamarac, FL 33319-2129 - Phone
- (954) 644-8800
- Fax
- (954) 824-1901
- NPI assigned
- Sep 1, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
Authorized official
- Name
- Mary Chen
- Title
- Owner
- Phone
- (305) 628-6117
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2242165 | Chen Senior Medical Center Tamarac | Certificate of waiver | Nov 4, 2027 |
National Provider Directory
- Tax ID family
- Chen Neighborhood Medical Lauderhill LLC
- Part of
- Chen Neighborhood Medical Lauderhill LLC
Locations
7401 W Commercial Blvd
Lauderhill, FL 33319
Phone (954) 644-8800
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
7401 W Commercial Blvd
Tamarac, FL 33319-2129
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other names
- Chen Senior Medical Center Tamarac
Other providers in Tamarac, FL
- Charles Herrera M.D.,P.a.
- Charles I. Glaser MD PA
- Lorin Chasar
- Shilpa Chaudhari
- Eugene Cheatham Jr.
- David S Chen
- Danielle Elizabeth Cheribin
- Marcia Z Cherniachovsky
- Cherro Care LLC
- Daniel Enrique Chervony
All providers in Tamarac, FL · Non-Pharmacy Dispensing Site in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.