La Vida Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LA VIDA MEDICAL CENTER

Practice address

4519 Lake Worth Rd
Greenacres, FL 33463-3449

Phone

(561) 432-8300

Fax

(561) 433-3026

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Frantz Phyton

Title

MGRM

Phone

(561) 432-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1619369998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-432-8300",
            "fax_number": "561-433-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-432-8300",
            "fax_number": "561-433-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "PHYTON",
        "authorized_official_first_name": "FRANTZ",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "561-432-8300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randee Kogan, L.M.H.C.
• Jean L Kraljev, MA, LMHC, CAP
• Kerri Ann Krieger, DPT
• Diana Theresa Kriel, OT
• Shankar Krishnamoorthy
• Jayden Labranche
• Mimose Labranche
• Rosabel Laches Hernandez
• Ana Lago
• Lake One Community Pharmacy Inc

• Primary Care Clinic/Center in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.