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BETHESDA MEDICAL CLINIC FLORIDA LLC
NPI 1699622084
Internal Medicine in Davie, FL

Active since March 13, 2026CLIA 10D2338525 · Waiver
11050 GRIFFIN RD STE 103, DAVIE, FL 33328(954) 824-1922(954) 824-1922 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethesda Medical Clinic Florida Llc NPPES

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

BETHESDA MEDICAL CLINIC FLORIDA LLC (NPI 1699622084) is a healthcare organization registered as an internal medicine in Davie, Florida and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Shibu Varughese, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1699622084
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHESDA MEDICAL CLINIC FLORIDA LLC
Location Address11050 GRIFFIN RD STE 103Davie, FL 33328-3227
Mailing Address11050 Griffin Road, Suite 104Cooper City, FL 33328 · (954) 824-1922 · Fax (954) 824-1922
Phone(954) 824-1922
Fax(954) 824-1922
Organization SubpartNo
Authorized OfficialShibu VarugheseMedical Director/owner · (718) 619-0037
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1699622084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
11050 GRIFFIN RD STE 103, Davie, FL 33328
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2338525

Bethesda Medical Clinic LLC · Cooper City, FL
Active · expires Feb 10, 2028
CLIA Number10D2338525
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorShibu Varughese
Laboratory Phone(954) 824-1922
Laboratory LocationBethesda Medical Clinic LLC11050 Griffin Road Suite 104, Cooper City, FL 33328
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 3

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

MARK AZER INC.
Dentist
11050 GRIFFIN RD STE 103
DAVIE, FL 33328
Broward County (407) 637-0874
LESLIE JOELLE FERNANDEZ BENCOSME DDS
Dentist (General Practice)
11050 GRIFFIN RD STE 103
DAVIE, FL 33328
Broward County (954) 669-1520
SAIRA C FERNANDEZ PEREZ DDS
Dentist (General Practice)
11050 GRIFFIN RD STE 103
DAVIE, FL 33328
Broward County (954) 669-1520

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 Bethesda Medical Clinic Florida LLC's NPI number?

The NPI number for Bethesda Medical Clinic Florida LLC is 1699622084. It was assigned to this organization in the NPPES registry on March 13, 2026.

Where is Bethesda Medical Clinic Florida LLC located?

Bethesda Medical Clinic Florida LLC is located at 11050 Griffin Rd Ste 103, Davie, FL 33328. The listed phone number is (954) 824-1922.

What is Bethesda Medical Clinic Florida LLC's specialty?

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

Does Bethesda Medical Clinic Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2338525) is associated with this NPI, valid through February 10, 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 Bethesda Medical Clinic Florida LLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.