KHADRA M OSMAN M D P A
NPI 1467422097
Clinic/Center - Medical Specialty in Fort Lauderdale, FL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

Active since January 25, 2006

1625 SE 3RD AVE, SUITE 400, FORT LAUDERDALE, FL 33316(954) 832-0055(954) 832-0262 Get Directions Write a Review

NPPES record last updated: August 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Khadra M Osman M D P A NPPES

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

KHADRA M OSMAN M D P A (NPI 1467422097) is a healthcare organization registered as a medical specialty in Fort Lauderdale, Florida and active in the NPI registry since January 2006. The organization lists Khadra Mohamoud Osman, President, as its authorized official.

NPPES Registry Identity

NPI1467422097

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameKHADRA M OSMAN M D P A

Location Address1625 SE 3RD AVE, SUITE 400Fort Lauderdale, FL 33316-2521

Mailing Address1625 Se 3rd Ave, 400Fort Lauderdale, FL 33316-2521 · (954) 832-0055 · Fax (954) 832-0262

Phone(954) 832-0055

Fax(954) 832-0262

Organization SubpartNo

Authorized OfficialKhadra Mohamoud OsmanPresident · (954) 832-0055

Enumeration DateJanuary 25, 2006

Last NPPES UpdateAugust 29, 2010

✔ NPI 1467422097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in FL · ME0060084

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1625 SE 3RD AVE, Fort Lauderdale, FL 33316

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