Active NPI
Laurel Medical Group, LLC
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1801412408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LAUREL MEDICAL GROUP, LLC
- Practice address
- 5911 NE 14TH LN
104
Fort Lauderdale, FL 33334 - Phone
- (786) 378-3386
- Fax
- (954) 206-5595
- NPI assigned
- Jun 19, 2020
- 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
- Mrs. Laura Uchoa, APRN
- Title
- President/Owner
- Phone
- (786) 378-3386
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5911 NE 14TH LN
104
Fort Lauderdale, FL 33334
Mailing address
5911 NE 14TH LN
104
Fort Lauderdale, FL 33334
Phone (786) 378-3386
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/25421/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pompano Beach, FL
- NPI 1699230409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1801412408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 NE 14TH LN",
"address_2": "104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33334",
"telephone_number": "786-378-3386",
"fax_number": "954-206-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5911 NE 14TH LN",
"address_2": "104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33334",
"telephone_number": "786-378-3386",
"fax_number": "954-206-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "UCHOA",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "786-378-3386",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.