PHYSICIAN PARTNERSHIP ALLIANCE LLC
NPI 1790178697
Preventive Medicine - Public Health & General Preventive Medicine in Hollywood, FL
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- CLIA Number: 10D2181784
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-09-2026
About PHYSICIAN PARTNERSHIP ALLIANCE LLC
This page provides the complete NPI Profile along with additional information for Physician Partnership Alliance Llc, a provider established in Hollywood, Florida operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1790178697 assigned on March 2015. The practitioner's primary taxonomy code is 2083P0901X with license number ME0080969 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Physician Partnership Alliance Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. F.m. Antonieta Schettino M.d. (Chief Medical Officer)
- NPI
- 1790178697 Verify this NPI
- Provider Name
- PHYSICIAN PARTNERSHIP ALLIANCE LLC
- Entity Type
- Organization
- Location Address
- 3829 HOLLYWOOD BLVD STE A HOLLYWOOD, FL 33021
- Location Phone
- (786) 233-8722
- Location Fax
- (954) 281-5440
- Mailing Address
- 3829 HOLLYWOOD BLVD STE A HOLLYWOOD, FL 33021
- Mailing Phone
- (786) 233-8722
- Mailing Fax
- (954) 281-5440
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-17-2015
- Last Update Date
- 03-17-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0080969
- License State
- FL
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| L71292 | MEDICARE PIN (08) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2181784
- Facility Type
- Physician Office
- Certificate Effective Date
- April 10, 2024
- Certificate Expiration Date
- April 09, 2026
- Laboratory Director
- ILEANA A. VILA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Physician Partnership Alliance Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790178697, enumerated as an "organization" on March 17, 2015.
The provider is located at 3829 HOLLYWOOD BLVD STE A HOLLYWOOD, FL 33021 and the phone number is (786) 233-8722.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
