Organization Active NPI

Medix Family Health Center

  • Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1710255567
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDIX FAMILY HEALTH CENTER
Practice address
2331 N State Road 7
Suite 102
Lauderdale Lakes, FL 33313-3748
Phone
(954) 484-8444
Fax
(954) 484-7784
NPI assigned
Dec 8, 2011
Last updated
Sep 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Authorized official

Name
Yvette J Fletcher, ARNP
Title
Owner
Phone
(954) 484-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2331 N State Road 7
Suite 102
Lauderdale Lakes, FL 33313-3748

Mailing address

2331 North State Road 7
Suite 102
Lauderhill, FL 33313
Phone (954) 484-8444

Other identifiers 1

IdentifierTypeStateIssuer
304370300MedicaidFL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726358400000",
    "number": "1710255567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NORTH STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-484-8444",
            "fax_number": "954-484-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-484-8444",
            "fax_number": "954-484-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-484-8444",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304370300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.