FAMILY MEDICAL GROUP HOLLYWOOD, LLC
NPI 1801647169
Family Medicine in Hollywood, FL
About Family Medical Group Hollywood, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL GROUP HOLLYWOOD, LLC (NPI 1801647169) is a healthcare organization registered as a family medicine in Hollywood, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Lizsandra Rodriguez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted 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 10D2300925
Family Medical Group Hollywood · Hollywood, FLFrequently 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 Family Medical Group Hollywood, LLC's NPI number?
The NPI number for Family Medical Group Hollywood, LLC is 1801647169. It was assigned to this organization in the NPPES registry on March 27, 2024.
Where is Family Medical Group Hollywood, LLC located?
Family Medical Group Hollywood, LLC is located at 3800 Johnson St Ste G, Hollywood, FL 33021. The listed phone number is (954) 324-4080.
What is Family Medical Group Hollywood, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Family Medical Group Hollywood, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2300925) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medical Group Hollywood, LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Family Medical Group Hollywood, LLC 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 Family Medical Group Hollywood, LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Medical Group Hollywood, Llc · NPI 1801647169
Family Medicine organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1801647169 (Entity type: Organization)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lizsandra Rodriguez, OWNER
## Practice location
- **Address:** 3800 JOHNSON ST STE G, Hollywood, FL 33021-6030
- **Phone:** (954) 324-4080
## Record status
- **NPPES last updated:** March 27, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801647169) · Data from the CMS NPPES public registry.