Active NPI
Bless Medical Center of Lake Worth LLC
- Primary Care Clinic/Center
- Pompano Beach, FL
National Provider Identifier
1538832399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.