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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROVITA PHYSICIAN GROUP CORP
NPI 1992435622
Family Medicine in Lauderdale Lakes, FL

Active since June 15, 2022
4850 W OAKLAND PARK BLVD STE 102, LAUDERDALE LAKES, FL 33313(786) 419-9192 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Aug 24, 2026, Mar 7, 2023 (3 updates tracked since 2023).

About Provita Physician Group Corp NPPES

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

PROVITA PHYSICIAN GROUP CORP (NPI 1992435622) is a healthcare organization registered as a family medicine in Lauderdale Lakes, Florida and active in the NPI registry since June 2022. The organization maintains 2 additional practice locations and lists Osmani Placencia, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992435622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVITA PHYSICIAN GROUP CORP
Location Address4850 W OAKLAND PARK BLVD STE 102Lauderdale Lakes, FL 33313-7268
Mailing Address3157 N University Dr Ste 103Hollywood, FL 33024-2258 · (954) 322-8985 · Fax (954) 322-8981
Phone(786) 419-9192
Organization SubpartYes
Authorized OfficialOsmani PlacenciaOffice Manager · (305) 878-9072
Enumeration DateJune 15, 2022
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1992435622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
4850 W OAKLAND PARK BLVD STE 102, Lauderdale Lakes, FL 33313
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Secondary Practice Locations 2

Location 116325 NW 11th StPembroke Pines, FL 33028-1121 · Phone (786) 419-9192
Location 23157 N University Dr Ste 103Hollywood, FL 33024-2258 · Phone (954) 322-8985 · Fax (954) 322-8981

Other Identifiers 2

Other15388808FL · Caqh
OtherAPRN9243523FL · Medical License

Other Providers at the Same Location NPPES 2

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

FLORIDAS TREATMENT CENTER
Psychiatry & Neurology (Psychiatry)
4850 W OAKLAND PARK BLVD STE 102
LAUDERDALE LAKES, FL 33313
Broward County (954) 380-0714
FLORIDA ENT ASSOCIATES, INC.
Otolaryngology
4850 W OAKLAND PARK BLVD STE 102
LAUDERDALE LAKES, FL 33313
Broward County (954) 486-4180

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 Provita Physician Group Corp's NPI number?

The NPI number for Provita Physician Group Corp is 1992435622. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Provita Physician Group Corp located?

Provita Physician Group Corp is located at 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313. The listed phone number is (786) 419-9192.

What is Provita Physician Group Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Provita Physician Group Corp was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.