PLANTATION MEDICAL CLINIC
NPI 1457500720
Internal Medicine in Plantation, FL

Active since September 11, 2008CLIA 10D0285802 · Waiver
100 NW 82ND AVE, SUITE 206, PLANTATION, FL 33324(954) 424-7504(954) 424-7603 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Plantation Medical Clinic NPPES

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

PLANTATION MEDICAL CLINIC (NPI 1457500720) is a healthcare organization registered as an internal medicine in Plantation, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter Simek, Doctor, as its authorized official.

NPPES Registry Identity

NPI1457500720
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePLANTATION MEDICAL CLINIC
Location Address100 NW 82ND AVE, SUITE 206Plantation, FL 33324-7809
Mailing Address100 Nw 82nd Ave, Suite 206Plantation, FL 33324-7809 · (954) 424-7504 · Fax (954) 424-7603
Fax(954) 424-7603
Organization SubpartNo
Authorized OfficialPeter SimekDoctor · (954) 424-7504
Enumeration DateSeptember 11, 2008
NPI 1457500720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · OS0044831
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 NW 82ND AVE, Plantation, FL 33324

Other Identifiers 1

Medicare PINK0063FL

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

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 10D0285802

Plantation Medical Clinic · Plantation, FL
Active · expires Aug 31, 2026
CLIA Number10D0285802
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter P. Simek MD
Laboratory Phone(954) 424-7504
Laboratory LocationPlantation Medical Clinic100 NW 82nd Avenue #206, Plantation, FL 33324
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Chiropractor
100 NW 82ND AVE, SUITE 101-102
PLANTATION, FL 33324
Otolaryngology (Plastic Surgery within the Head & Neck)
100 NW 82ND AVE, SUITE 104
PLANTATION, FL 33324
Otolaryngology
100 NW 82ND AVE
PLANTATION, FL 33324
Surgery (Plastic and Reconstructive Surgery)
100 NW 82ND AVE, SUITE 405
PLANTATION, FL 33324
Internal Medicine
100 NW 82ND AVE, SUITE 201-202
PLANTATION, FL 33324
Internal Medicine
100 NW 82ND AVE, STE 206
PLANTATION, FL 33324
Chiropractor
100 NW 82ND AVE, SUITE 101-102
PLANTATION, FL 33324
Otolaryngology (Otolaryngic Allergy)
100 NW 82ND AVE, SUITE 104
PLANTATION, FL 33324

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 Plantation Medical Clinic's NPI number?

The NPI number for Plantation Medical Clinic is 1457500720. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Plantation Medical Clinic located?

Plantation Medical Clinic is located at 100 NW 82nd Ave Suite 206, Plantation, FL 33324. The listed phone number is (954) 424-7504.

What is Plantation Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Plantation Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0285802) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plantation Medical Clinic was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.