Organization Active NPI

Millake Healthcare of Lauderhill

  • Internal Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1760842041
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0047706 Issued in FL
Legal business name
MILLAKE HEALTHCARE OF LAUDERHILL
Practice address
7200 W Commercial Blvd
Suite 201
Lauderhill, FL 33319-2148
Phone
(954) 748-6665
Fax
(954) 746-0310
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
David Abellard, M.D.NPI 1083698401
Title
Physician
Phone
(561) 433-4446

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0047706 FL Primary

Addresses

Primary practice location

7200 W Commercial Blvd
Suite 201
Lauderhill, FL 33319-2148

Mailing address

7200 W Commercial Blvd Ste 201
Lauderhill, FL 33319-2148
Phone (954) 748-6665

Other identifiers 1

IdentifierTypeStateIssuer
061341000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1760842041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD STE 201",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "954-748-6665",
            "fax_number": "954-746-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD",
            "address_2": "SUITE 201",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "954-748-6665",
            "fax_number": "954-746-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLAKE HEALTHCARE OF LAUDERHILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "ABELLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-433-4446",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0047706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061341000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.