Organization Active NPI

Olympus Medical Center Inc

  • Medical Specialty Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1619209590
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME90210 Issued in FL
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

Updated by the provider on Jan 3, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.