EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC
NPI 1639190184
Internal Medicine in Plantation, FL

Q: What is East Side Medical Center Of South Florida LLC's specialty?

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

Active since July 21, 2006CLIA 10D2349572 · Waiver

100 NW 82ND AVE STE 401, PLANTATION, FL 33324(954) 331-5799(954) 587-5018 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About East Side Medical Center Of South Florida Llc NPPES

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

EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC (NPI 1639190184) is a healthcare organization registered as an internal medicine in Plantation, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Claire Katz, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1639190184

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC

Location Address100 NW 82ND AVE STE 401Plantation, FL 33324-1835

Mailing Address100 Nw 82nd Ave, Suite 401Plantation, FL 33324 · (954) 331-5799 · Fax (954) 587-5018

Phone(954) 331-5799

Fax(954) 587-5018

Organization SubpartNo

Authorized OfficialClaire KatzPhysician/owner · (954) 331-5799

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 3, 2017

✔ NPI 1639190184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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 STE 401, Plantation, FL 33324

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Side Medical Center Of South Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Side Medical Center Of South Florida LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claire Katz, M.D.

Internal Medicine

NPI 1295758001

100 NW 82ND AVE STE 401
Plantation, FL 33324

(954) 331-5799

✔ PECOS✔ Accepts MedicareSame address

Source: 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 10D2349572

Eastside Medical Center Of South Florida LLC · Plantation, FL

Active · expires Aug 24, 2028

CLIA Number10D2349572

Laboratory TypePhysician Office

Certificate Effective DateAugust 25, 2026

Certificate Expiration DateAugust 24, 2028

Laboratory DirectorClaire Katz

Laboratory Phone(954) 331-5799

Laboratory LocationEastside Medical Center Of South Florida LLC100 NW 82nd Ave Suite 401, Plantation, FL 33324

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 East Side Medical Center Of South Florida LLC's NPI number?

The NPI number for East Side Medical Center Of South Florida LLC is 1639190184. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is East Side Medical Center Of South Florida LLC located?

East Side Medical Center Of South Florida LLC is located at 100 NW 82nd Ave Ste 401, Plantation, FL 33324. The listed phone number is (954) 331-5799.

What is East Side Medical Center Of South Florida LLC's specialty?

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

Is East Side Medical Center Of South Florida LLC enrolled in Medicare?

Yes. East Side Medical Center Of South Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Side Medical Center Of South Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to East Side Medical Center Of South Florida 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Side Medical Center Of South Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2349572) is associated with this NPI, valid through August 24, 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 East Side Medical Center Of South Florida LLC was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.