Individual provider Active NPI

Clinton Jules, M.D.

  • General Practice Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1811923352
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME81680 Issued in FL
Practice address
3075 NW 35TH Ave
Lauderdale Lakes, FL 33311-1107
Phone
(954) 739-6233
Fax
(954) 739-2549
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME81680 FL
Internal Medicine Physician 207R00000X ME81680 FL
General Practice Physician 208D00000X ME81680 FL Primary

Addresses

Primary practice location

3075 NW 35TH Ave
Lauderdale Lakes, FL 33311-1107

Mailing address

3075 NW 35TH Ave
Lauderdale Lakes, FL 33311-1107
Phone (954) 739-6233

Other identifiers 1

IdentifierTypeStateIssuer
261603300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000546 FL Practitioner - Internal Medicine 8820983513 Reassigns benefits to 5 organizations
Practice locations: Lauderdale Lakes, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians
Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians

Practice addresses (Care Compare)

3485 NW 30TH St
Lauderdale Lakes, FL 33311-1890
Phone (954) 739-1483

4513 Executive Dr
FL 2
Naples, FL 34119-9033
Phone (865) 693-1000

777 S Douglas Rd
Memorial Manor
Pembroke Pines, FL 33025-1353
Phone (954) 276-6200

Hospital & facility affiliations

  • Catholic Home Health Services of Broward, Inc. Home health agency, Lauderdale Lakes, FL, CCN 107110
  • St Johns Nursing Center Nursing home, Lauderdale Lakes, FL, CCN 105371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME81680FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Sep 1, 2015 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Mar 15, 2022 Accepting new patients
South Broward Hospital District Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 27, 2011 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Oct 28, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 27, 2011 Accepting new patients
South Broward Hospital District CurrentSince Sep 1, 2015 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 276-9700

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

3075 NW 35th Ave
Lauderdale Lakes, FL 33311
Phone (954) 486-9676

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

4513 Executive Dr
Fl 2
Naples, FL 34119

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Interoperability endpoints

  • Direct secure messaging: cjules6164@mhsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Johns Nursing CenterLauderdale Lakes, FL, CCN 105371 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Mar 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1811923352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 NW 35TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111107",
            "telephone_number": "954-739-6233",
            "fax_number": "954-739-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 NW 35TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111107",
            "telephone_number": "954-739-6233",
            "fax_number": "954-739-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULES",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME81680",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81680",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME81680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261603300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.