Active NPI
Olympus Medical Center Inc
- Medical Specialty Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1619209590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME90210
- Legal business name
- OLYMPUS MEDICAL CENTER INC
- Practice address
- 17901 NW 5TH St
Suite 103
Pembroke Pines, FL 33029-2810 - Phone
- (954) 442-8380
- NPI assigned
- Feb 3, 2010
- 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
- Dr. Mario Eugenio Litano, MD
- Title
- President/Owner
- Phone
- (305) 827-3303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | ME90210 | FL | Primary |
Addresses
Primary practice location
17901 NW 5TH St
Suite 103
Pembroke Pines, FL 33029-2810
Mailing address
17900 NW 5TH St
Suite 203C
Pembroke Pines, FL 33029-2808
Phone (954) 582-3733
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1619209590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17900 NW 5TH ST",
"address_2": "SUITE 203C",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292808",
"telephone_number": "954-582-3733",
"fax_number": "954-391-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17901 NW 5TH ST",
"address_2": "SUITE 103",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292810",
"telephone_number": "954-442-8380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPUS MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "LITANO",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "EUGENIO",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "305-827-3303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME90210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.