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WESTON MEDICAL CLINIC INC
NPI 1609894484
Internal Medicine in Weston, FL

Active since July 18, 2006CLIA 10D0973085 · Waiver
17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL 33326(954) 385-3711(954) 385-9366 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Weston Medical Clinic Inc NPPES

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

WESTON MEDICAL CLINIC INC (NPI 1609894484) is a healthcare organization registered as an internal medicine in Weston, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Phanor Calle, President, as its authorized official.

NPPES Registry Identity

NPI1609894484
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWESTON MEDICAL CLINIC INC
Location Address17120 ROYAL PALM BLVD, SUITE 4Weston, FL 33326-2310
Mailing Address17120 Royal Palm Blvd, Suite 4Weston, FL 33326-2310 · (954) 385-3711 · Fax (954) 385-9366
Phone(954) 385-3711
Fax(954) 385-9366
Organization SubpartNo
Authorized OfficialPhanor CallePresident · (954) 385-9711
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1609894484 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 · ME0073727
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.
17120 ROYAL PALM BLVD, Weston, FL 33326
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Other Identifiers 3

Medicare ID-Type Unspecified44589XFL
Medicaid255505100FL
Medicare UPING09972FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 10D0973085

Weston Medical Clinic Inc · Weston, FL
Active · expires Apr 25, 2028
CLIA Number10D0973085
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorPhanor Calle
Laboratory Phone(954) 385-9711
Laboratory LocationWeston Medical Clinic Inc17120 Royal Palm Blvd Ste 4, Weston, FL 33326
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 4

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

DR. JENNIFER ELAINE LAGE-SALTY O.D.
Optometrist
17120 ROYAL PALM BLVD, SUITE 2
WESTON, FL 33326
Broward County (954) 384-1127
PHANOR CALLE M.D.
Internal Medicine
17120 ROYAL PALM BLVD, SUITE 4
WESTON, FL 33326
Broward County (954) 385-9711
VISION UNLIMITED OF WESTON LLC
Optometrist
17120 ROYAL PALM BLVD, SUITE 2
WESTON, FL 33326
Broward County (954) 384-1127
DR. DEVRA CARYN MINTZ M.D., M.P.H.
Psychiatry & Neurology (Psychiatry)
17120 ROYAL PALM BLVD, SUITE 1
WESTON, FL 33326
Broward County (954) 349-2277

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 Weston Medical Clinic Inc's NPI number?

The NPI number for Weston Medical Clinic Inc is 1609894484. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Weston Medical Clinic Inc located?

Weston Medical Clinic Inc is located at 17120 Royal Palm Blvd Suite 4, Weston, FL 33326. The listed phone number is (954) 385-3711.

What is Weston Medical Clinic Inc's specialty?

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

Does Weston Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0973085) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Weston Medical Clinic Inc accept?

Health plans from AvMed list Weston Medical Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Weston Medical Clinic Inc was last updated on August 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.