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HEALTHY SENIOR MEDICAL GROUP LLC
NPI 1194327379
General Practice in Fort Lauderdale, FL

Active since November 12, 2020
515 E LAS OLAS BLVD STE 120, FORT LAUDERDALE, FL 33301(954) 787-8874(954) 787-8875 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthy Senior Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY SENIOR MEDICAL GROUP LLC (NPI 1194327379) is a healthcare organization registered as a general practice in Fort Lauderdale, Florida and active in the NPI registry since November 2020. The organization lists Christopher J Pettas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194327379
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALTHY SENIOR MEDICAL GROUP LLC
Location Address515 E LAS OLAS BLVD STE 120Fort Lauderdale, FL 33301-4261
Mailing Address2199 Ne 5th AveBoca Raton, FL 33431-7610 · (561) 702-1299 · Fax (561) 584-7505
Phone(954) 787-8874
Fax(954) 787-8875
Organization SubpartNo
Authorized OfficialChristopher J PettasCeo · (561) 702-1299
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1194327379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
515 E LAS OLAS BLVD STE 120, Fort Lauderdale, FL 33301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAINTECH DIAGNOSTICS LLC
Clinic/Center (Health Service)
515 E LAS OLAS BLVD STE 120
FT LAUDERDALE, FL 33301
Broward County (954) 304-5483
HEALTHY SENIORS MEDICAL HOLDINGS LLC
General Practice
515 E LAS OLAS BLVD STE 120
FT LAUDERDALE, FL 33301
Broward County (954) 787-8874
KIDOLOGY ENTERPRISES, LLC
Clinic/Center (Developmental Disabilities)
515 E LAS OLAS BLVD STE 120
FORT LAUDERDALE, FL 33301
Broward County (561) 305-4579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Senior Medical Group LLC's NPI number?

The NPI number for Healthy Senior Medical Group LLC is 1194327379. It was assigned to this organization in the NPPES registry on November 12, 2020.

Where is Healthy Senior Medical Group LLC located?

Healthy Senior Medical Group LLC is located at 515 E Las Olas Blvd Ste 120, Fort Lauderdale, FL 33301. The listed phone number is (954) 787-8874.

What is Healthy Senior Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Healthy Senior Medical Group LLC was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.