PROVITA PHYSICIAN GROUP CORP
NPI 1992435622
Clinic/Center in Hollywood, FL

Q: 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.

Q: What is Provita Physician Group Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 15, 2022

3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024(954) 322-8985(954) 322-8981 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 clinic/center in Hollywood, Florida and active in the NPI registry since June 2022. The organization lists Ileana Delgado, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992435622

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePROVITA PHYSICIAN GROUP CORP

Location Address3157 N UNIVERSITY DR STE 103Hollywood, FL 33024-2258

Mailing Address3157 N University Dr Ste 103Hollywood, FL 33024-2258 · (954) 322-8985 · Fax (954) 322-8981

Phone(954) 322-8985

Fax(954) 322-8981

Organization SubpartYes

Authorized OfficialIleana DelgadoOffice Manager · (305) 878-9072

Enumeration DateJune 15, 2022

Last NPPES UpdateMarch 7, 2023

NPPES CertifiedJune 15, 2022

✔ NPI 1992435622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3157 N UNIVERSITY DR STE 103, Hollywood, FL 33024

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Other Identifiers 2

Other15388808FL · Caqh

OtherAPRN9243523FL · Medical License

Other Providers at the Same Location NPPES 8

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

MISS JILL R KIRSCHENBAUM SLP-CFY

Speech-Language Pathologist

3157 N UNIVERSITY DR STE 103
PEMBROKE PINES, FL 33024

Broward County (954) 442-9422

TECTUM MEDICAL RESEARCH LLC

Clinic/Center (Community Health)