Organization Active NPI

Atisso Medical Center

  • Family Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1730852708
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 30, 2024

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.NPI 1699389049
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012000609 FL Part B Supplier - Clinic/Group Practice 5698173227 Receives reassigned benefits from 1 practitioner
Practice locations: Lauderhill, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2240589Atisso Medical Center, LLC2331 North State Road 7, Suite-220, Lauderhill, FL 33313Provider-performed microscopyOct 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.