Organization Active NPI

Uplift Healthcare Inc

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1962294264
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UPLIFT HEALTHCARE INC
Practice address
5812 Hollywood Blvd RM 7
Hollywood, FL 33021-6316
Phone
(754) 255-5505
Fax
(754) 239-2540
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Manuel E Lopez
Title
Manager
Phone
(754) 255-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5812 Hollywood Blvd RM 7
Hollywood, FL 33021-6316

Mailing address

5812 Hollywood Blvd RM 7
Hollywood, FL 33021-6316
Phone (754) 255-5505

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2325150Uplift Healthcare Inc5812 Hollywood Blvd Room 7, Hollywood, FL 33021Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

5812 Hollywood Blvd
Rm 7
Hollywood, FL 33021
Phone (754) 255-5505

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1962294264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 HOLLYWOOD BLVD RM 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216316",
            "telephone_number": "754-255-5505",
            "fax_number": "754-239-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 HOLLYWOOD BLVD RM 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216316",
            "telephone_number": "754-255-5505",
            "fax_number": "754-239-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-255-5505"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.