PALM MEDICAL CENTER PLANTATION, LLC
NPI 1417458464
Clinic/Center in Plantation, FL
About Palm Medical Center Plantation, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM MEDICAL CENTER PLANTATION, LLC (NPI 1417458464) is a healthcare organization registered as a clinic/center in Plantation, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Juan M Ortiz, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Palm Medical Center Plantation, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
69Medicare enrollment records show 69 clinicians reassign Medicare billing to Palm Medical Center Plantation, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 69Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0858610
Palm Medical Center Plantation LLC · Plantation, FLFrequently 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 Palm Medical Center Plantation, LLC's NPI number?
The NPI number for Palm Medical Center Plantation, LLC is 1417458464. It was assigned to this organization in the NPPES registry on February 26, 2018.
Where is Palm Medical Center Plantation, LLC located?
Palm Medical Center Plantation, LLC is located at 6971 W Sunrise Blvd Ste 105-106, Plantation, FL 33313. The listed phone number is (954) 583-3500.
What is Palm Medical Center Plantation, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Palm Medical Center Plantation, LLC enrolled in Medicare?
Yes. Palm Medical Center Plantation, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Palm Medical Center Plantation, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 5 Medicare specialties reassign their Medicare billing to Palm Medical Center Plantation, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), General Practice (18) and Family Practice (9). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Palm Medical Center Plantation, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0858610) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Palm Medical Center Plantation, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Palm Medical Center Plantation, Llc · NPI 1417458464
Clinic/Center organization in Plantation, Florida. Organization record, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1417458464 (Entity type: Organization)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Juan Ortiz, CEO
## Practice location
- **Address:** 6971 W SUNRISE BLVD STE 105-106, Plantation, FL 33313-4407
- **Phone:** (954) 583-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 69 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), General Practice (18), Family Practice (9); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1417458464/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417458464) · Data from the CMS NPPES public registry.