The Colon and Rectal Clinic of Ft Lauderdale PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

THE COLON AND RECTAL CLINIC OF FT LAUDERDALE PA

Practice address

201 NW 82ND Ave
Suite 302
Plantation, FL 33324

Phone

(954) 236-5444

Fax

(954) 236-5422

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Charles Peter Lago Sr., MDNPI 1144219445

Title

President for the Practice

Phone

(954) 236-5444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Peter Lago Sr., M.D.

  • Colon & Rectal Surgery Physician
  • Plantation, FL
  • NPI 1144219445
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861405508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-236-5444",
            "fax_number": "954-236-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-236-5444",
            "fax_number": "954-236-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLON AND RECTAL CLINIC OF FT LAUDERDALE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT FOR THE PRACTICE",
        "authorized_official_telephone_number": "954-236-5444",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.