Active NPI
Atisso Medical Center
- Family Medicine Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ATISSO MEDICAL CENTER
- Doing business as
- Atisso Medical Center
- Practice address
- 2331 N State Road 7 Ste 220
Lauderdale Lakes, FL 33313-3772 - Phone
- (954) 290-9159
- Fax
- (954) 206-0561
- NPI assigned
- Jul 27, 2021
- 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. Frantz Sainvil, MD, PH.D.
- Title
- President and Co-Owner
- Phone
- (954) 290-9159
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2331 N State Road 7 Ste 220
Lauderdale Lakes, FL 33313-3772
Mailing address
2331 N State Road 7 Ste 220
Lauderdale Lakes, FL 33313-3772
Phone (954) 290-9159
Other names 1
- Atisso Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2240589 | Atisso Medical Center, LLC | Provider-performed microscopy | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
401 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 776-5700
2331 N State Road 7
Ste 220
Lauderdale Lakes, FL 33313
Phone (754) 444-2107
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1588758080
-
- Family Medicine Physician
- Lauderhill, FL
- NPI 1023776952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1730852708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 N STATE ROAD 7 STE 220",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333133772",
"telephone_number": "954-290-9159",
"fax_number": "954-206-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 N STATE ROAD 7 STE 220",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333133772",
"telephone_number": "954-290-9159",
"fax_number": "954-206-0561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATISSO MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "SAINVIL",
"authorized_official_first_name": "FRANTZ",
"authorized_official_title_or_position": "PRESIDENT AND CO-OWNER",
"authorized_official_telephone_number": "954-290-9159",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PH.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atisso Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atisso Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.