Latino Medicasl Center 111 Inc

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

LATINO MEDICASL CENTER 111 INC

Practice address

3670 W Oakland Park Blvd
Lauderdale Lakes, FL 33311-1148

Phone

(954) 716-6101

NPI assigned

Jun 5, 2018

Last updated

Jun 16, 2018By 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

Enid Leon

Title

Coder

Phone

(786) 797-6669

Specialties & licenses 1

Addresses

Other names 1

• Latino medicasl center 111 inc Former legal business name

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1467944421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 NW 65TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111148",
            "telephone_number": "954-716-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO MEDICASL CENTER 111 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "CODER",
        "authorized_official_telephone_number": "786-797-6669"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latino medicasl center 111 inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lakes Active Senior Living, Inc.
• Lakes Quality Care, Inc.
• Lanshel, Inc. (Amethyst Agency of Broward)
• Kerri Tiffany Latchman, RBT B.S
• Latino Medical Center III, Inc
• Lauderdale Dentistry for Kids LLC
• Lauderdale Ismile
• Lauderdale Lakes Alzheimer Care Center (City of Lauderdale Lakes)
• Lauderdale Lakes Medical Center Inc
• Lauderdale Lakes Medical Center, Inc.

• Obesity Medicine (Family Medicine) Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Obesity Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.