Organization Active NPI

Bodycare Liposculture and Anti-Aging Clinic

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1881976819
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0074811 Issued in FL
Legal business name
BODYCARE LIPOSCULTURE AND ANTI-AGING CLINIC
Practice address
100 N Federal Hwy
The Waverly at Las Olas
Fort Lauderdale, FL 33301-1129
Phone
(954) 765-1316
Fax
(954) 765-1461
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BODYCARE LIPOSCULTURE AND ANTI-AGING CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Rodger G Stratt, MD
Title
Owner
Phone
(954) 765-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0074811 FL Primary

Addresses

Primary practice location

100 N Federal Hwy
The Waverly at Las Olas
Fort Lauderdale, FL 33301-1129

Mailing address

100 N Federal Hwy
The Waverly at Las Olas
Fort Lauderdale, FL 33301-1129
Phone (954) 765-1316

National Provider Directory

National Provider Directory
Tax ID family
Bodycare2 organizations share this tax ID, including this one
Part of
Bodycare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1881976819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY",
            "address_2": "THE WAVERLY AT LAS OLAS",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011129",
            "telephone_number": "954-765-1316",
            "fax_number": "954-765-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY",
            "address_2": "THE WAVERLY AT LAS OLAS",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011129",
            "telephone_number": "954-765-1316",
            "fax_number": "954-765-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYCARE LIPOSCULTURE AND ANTI-AGING CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BODYCARE LIPOSCULTURE AND ANTI-AGING CLINIC",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "STRATT",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-765-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0074811",
            "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 Sep 15, 2011; 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.