BROWARD PALM MEDICAL CENTER 1, LLC
NPI 1992117600
Exclusive Provider Organization in Hollywood, FL

Active since May 29, 2014CLIA 10D2102907 · Waiver
6849 TAFT STREET, HOLLYWOOD, FL 33024(303) 913-7300(305) 362-4776 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broward Palm Medical Center 1, Llc NPPES

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

BROWARD PALM MEDICAL CENTER 1, LLC (NPI 1992117600) is a healthcare organization registered as an exclusive provider organization in Hollywood, Florida and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Santiago Moises, Director Of Centers Operations, as its authorized official.

NPPES Registry Identity

NPI1992117600
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameBROWARD PALM MEDICAL CENTER 1, LLC
Location Address6849 TAFT STREETHollywood, FL 33024
Mailing Address6849 Taft StHollywood, FL 33024-5601 · (305) 913-7300 · Fax (305) 362-4776
Fax(305) 362-4776
Organization SubpartNo
Authorized OfficialSantiago MoisesDirector Of Centers Operations · (786) 362-4173
Enumeration DateMay 29, 2014
NPI 1992117600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
6849 TAFT STREET, Hollywood, FL 33024

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 10D2102907

Broward Palm Medical Center LLC · Hollywood, FL
Active · expires Sep 30, 2027
CLIA Number10D2102907
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorRamiro R. Rodriguez
Laboratory Phone(954) 266-2920
Laboratory LocationBroward Palm Medical Center LLC6849 Taft St, Hollywood, FL 33024
CLIA data matches this NPI record on: Address Name
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 Broward Palm Medical Center 1, LLC's NPI number?

The NPI number for Broward Palm Medical Center 1, LLC is 1992117600. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Broward Palm Medical Center 1, LLC located?

Broward Palm Medical Center 1, LLC is located at 6849 Taft Street, Hollywood, FL 33024. The listed phone number is (303) 913-7300.

What is Broward Palm Medical Center 1, LLC's specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

Does Broward Palm Medical Center 1, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2102907) is associated with this NPI, valid through September 30, 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 Broward Palm Medical Center 1, LLC was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.