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Tenet Florida Physician Services II, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Fort Lauderdale, FL

NPI 1417543109 · NPPES record last updated Jan 13, 2021

Key facts

NPI
1417543109
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
TENET FLORIDA PHYSICIAN SERVICES II, LLC
Practice address
3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone
(954) 567-1332
Fax
(561) 537-2721
NPI assigned
Dec 16, 2020
Organization subpart
No

Authorized official

Name
Brian Rasmus
Title
VP, Cfo Tenet Physician Resources
Phone
(469) 893-2532

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 99

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2003263Tenet Florida Physician Services II, LLC
3000 Bayview Dr, Fort Lauderdale, FL 33306		Certificate of waiverFeb 3, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210127002274 FL DME Supplier - Multi-Specialty - Physician 1456507698 Practice locations: Fort Lauderdale, FL

National Provider Directory

Tax ID family
Tenet Florida Physician Services II LLC (12 organizations share this tax ID)

Locations

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772

Mailing address

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Other providers in Fort Lauderdale, FL

All providers in Fort Lauderdale, FL · Durable Medical Equipment & Medical Supplies in Florida

Sources for this page

Verify at the official NPI Registry.