Organization Active NPI

LDG Medical Center LLC

  • Physical Therapy Clinic/Center
  • Davie, FL
National Provider Identifier
1558962019
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LDG MEDICAL CENTER LLC
Practice address
4485 Stirling Rd
Davie, FL 33314-7517
Phone
(305) 492-5983
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Daimara Borroto
Title
Owner
Phone
(305) 492-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4485 Stirling Rd
Davie, FL 33314-7517

Mailing address

4485 Stirling Rd
Davie, FL 33314-7517
Phone (305) 492-5983

Other names 1

  • LDG MEDICAL CENTER LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4485 Stirling Rd
Davie, FL 33314
Phone (305) 492-5983

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1558962019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147517",
            "telephone_number": "305-492-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147517",
            "telephone_number": "305-492-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDG MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "BORROTO",
        "authorized_official_first_name": "DAIMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-492-5983"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDG MEDICAL CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.