Organization Active NPI

Bless Medical Center of Lake Worth LLC

  • Primary Care Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1538832399
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BLESS MEDICAL CENTER OF LAKE WORTH LLC
Practice address
440 E Sample Rd Ste 107
Pompano Beach, FL 33064-4432
Phone
(954) 864-6401
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Ozzie Martinez, ADMINISTRATOR
Title
Coo
Phone
(954) 864-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

440 E Sample Rd Ste 107
Pompano Beach, FL 33064-4432

Mailing address

440 E Sample Rd Ste 107
Pompano Beach, FL 33064-4432
Phone (954) 864-6401

Other names 1

  • BLESS MEDICAL CENTER CORP Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1538832399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD STE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644432",
            "telephone_number": "954-864-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD STE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644432",
            "telephone_number": "954-864-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESS MEDICAL CENTER OF LAKE WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OZZIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-864-6401",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLESS MEDICAL CENTER CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.