Organization Active NPI

Uslar Medical FL PA

  • Internal Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1548031735
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
USLAR MEDICAL FL PA
Practice address
2500 E Hallandale Beach Blvd Ste 611
Hallandale Beach, FL 33009-4839
Phone
(617) 712-6539
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Liubou Uslar, MDNPI 1225492002
Title
Medical Director
Phone
(617) 712-6539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 611
Hallandale Beach, FL 33009-4839

Mailing address

446 Grand Ave Apt 2
Leonia, NJ 07605-2299
Phone (617) 712-6539

Other names 1

  • Hallandale Integrative Health and Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325003171 FL Part B Supplier - Clinic/Group Practice 8426495508 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Hallandale Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1548031735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 GRAND AVE APT 2",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052299",
            "telephone_number": "617-712-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 611",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094839",
            "telephone_number": "617-712-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USLAR MEDICAL FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "USLAR",
        "authorized_official_first_name": "LIUBOU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-712-6539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallandale Integrative Health and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.