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PALM MEDICAL CENTER PLANTATION, LLC
NPI 1417458464
Clinic/Center in Plantation, FL

Active since February 26, 2018CLIA 10D0858610 · Waiver
6971 W SUNRISE BLVD STE 105-106, PLANTATION, FL 33313(954) 583-3500 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Feb 26, 2018 (3 updates tracked since 2018).

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

NPI1417458464
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePALM MEDICAL CENTER PLANTATION, LLC
Location Address6971 W SUNRISE BLVD STE 105-106Plantation, FL 33313-4407
Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134 · (305) 913-9444 · Fax (305) 442-1198
Phone(954) 583-3500
Organization SubpartNo
Authorized OfficialJuan M OrtizCeo · (305) 913-9444
Enumeration DateFebruary 26, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1417458464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6971 W SUNRISE BLVD STE 105-106, Plantation, FL 33313
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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, FL
Active · expires Jan 14, 2028
CLIA Number10D0858610
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorArlene E. Haywood
Laboratory Phone(954) 581-0040
Laboratory LocationPalm Medical Center Plantation LLC6971 W Sunrise Blvd Ste 106, Plantation, FL 33313
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NDEMIE MENDS PRICE M.D.
Pediatrics
6971 W SUNRISE BLVD STE 105-106
PLANTATION, FL 33313
Broward County (954) 583-3500

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 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.

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.