Organization Active NPI

Stat Medical Clinic IV Inc

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1487884540
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STAT MEDICAL CLINIC IV INC
Practice address
2535 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203
Phone
(954) 568-1818
Fax
(954) 568-1475
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrice Pryce
Title
Billing/Coding
Phone
(954) 568-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

2535 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203

Mailing address

2535 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203
Phone (954) 568-1818

National Provider Directory

National Provider Directory

Locations

2535 E Sunrise Blvd
Ft Lauderdale, FL 33304
Phone (954) 568-1818

2985 N Ocean Blvd
Ft Lauderdale, FL 33308
Phone (954) 568-1818

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1487884540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043203",
            "telephone_number": "954-568-1818",
            "fax_number": "954-568-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043203",
            "telephone_number": "954-568-1818",
            "fax_number": "954-568-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL CLINIC IV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "PRYCE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "BILLING/CODING",
        "authorized_official_telephone_number": "954-568-1818"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.