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121 MEDICAL CENTER LLC
NPI 1982384814
Internal Medicine in Fort Lauderdale, FL

Active since July 25, 2023CLIA 10D2289104 · Waiver
3333 W COMMERCIAL BLVD STE 110, FORT LAUDERDALE, FL 33309(954) 530-9770 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Jul 25, 2023 (2 updates tracked since 2023).

About 121 Medical Center Llc NPPES

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

121 MEDICAL CENTER LLC (NPI 1982384814) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Rosny Simeon, Manager, as its authorized official.

NPPES Registry Identity

NPI1982384814
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name121 MEDICAL CENTER LLC
Location Address3333 W COMMERCIAL BLVD STE 110Fort Lauderdale, FL 33309-3407
Mailing Address11903 Southern Blvd Ste 108Royal Palm Beach, FL 33411-7644 · (561) 793-1475
Phone(954) 530-9770
Organization SubpartYes
Authorized OfficialRosny SimeonManager · (561) 793-1475
Enumeration DateJuly 25, 2023
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1982384814 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.
3333 W COMMERCIAL BLVD STE 110, Fort Lauderdale, FL 33309
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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 10D2289104

121 Medical Center LLC · Oakland Park, FL
Active · expires Sep 5, 2027
CLIA Number10D2289104
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorRosny Simeon
Laboratory Phone(561) 793-1475
Laboratory Location121 Medical Center LLC3333 W Commercial Blvd, Ste 110, Oakland Park, FL 33309
CLIA data matches this NPI record on: 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.

OLIVIA BARANSKI MD
Family Medicine
3333 W COMMERCIAL BLVD STE 110
FORT LAUDERDALE, FL 33309
Broward County (760) 201-6711
AMOS STANISLAS M.D.
Family Medicine
3333 W COMMERCIAL BLVD STE 110
FORT LAUDERDALE, FL 33309
Broward County (754) 285-6111
FREDERICK NELSON LABORDE M.D.
Internal Medicine
3333 W COMMERCIAL BLVD STE 110
FORT LAUDERDALE, FL 33309
Broward County (954) 530-9770
MR. JAMES YVAN BENSON RINCHERE PHYSICIAN ASSISTANT
Physician Assistant
3333 W COMMERCIAL BLVD STE 110
FORT LAUDERDALE, FL 33309
Broward County (754) 315-0660

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 121 Medical Center LLC's NPI number?

The NPI number for 121 Medical Center LLC is 1982384814. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is 121 Medical Center LLC located?

121 Medical Center LLC is located at 3333 W Commercial Blvd Ste 110, Fort Lauderdale, FL 33309. The listed phone number is (954) 530-9770.

What is 121 Medical Center LLC's specialty?

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

Does 121 Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2289104) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 121 Medical Center LLC was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.