MARQUIS MD LLC
NPI 1992521330
Clinic/Center - Primary Care in Fort Lauderdale, FL

Active since December 02, 2024CLIA 10D2347797 · Waiver
110 E BROWARD BLVD STE 2400, FORT LAUDERDALE, FL 33301(561) 323-6593 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Marquis Md Llc NPPES

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

MARQUIS MD LLC (NPI 1992521330), doing business as Marquis Md, is a healthcare organization registered as a primary care in Fort Lauderdale, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through July 23, 2028 and lists Pamela Westberg, Coo, as its authorized official.

NPPES Registry Identity

NPI1992521330
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARQUIS MD LLC
Location Address110 E BROWARD BLVD STE 2400Fort Lauderdale, FL 33301-3504
Mailing Address4620 N State Road 7 Ste 300Lauderdale Lakes, FL 33319-5867 · (561) 323-6593
Organization SubpartNo
Authorized OfficialPamela WestbergCoo · (561) 323-6593
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1992521330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
110 E BROWARD BLVD STE 2400, Fort Lauderdale, FL 33301

Other Names 1

Doing Business AsMarquis Md

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 10D2347797

Av Medical Center Inc Dba Marquis MD Florida · Boca Raton, FL
Active · expires Jul 23, 2028
CLIA Number10D2347797
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2026
Certificate Expiration DateJuly 23, 2028
Laboratory DirectorBharath Thankavel
Laboratory Phone(561) 323-6593
Laboratory LocationAv Medical Center Inc Dba Marquis MD Florida660 Glades Road, Suite 460, Boca Raton, FL 33431
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 2

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

Behavior Technician
110 E BROWARD BLVD STE 2400
FORT LAUDERDALE, FL 33301
Behavior Technician
110 E BROWARD BLVD STE 2400
FORT LAUDERDALE, FL 33301

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 Marquis MD LLC's NPI number?

The NPI number for Marquis MD LLC is 1992521330. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is doing business as Marquis MD.

Where is Marquis MD LLC located?

Marquis MD LLC is located at 110 E Broward Blvd Ste 2400, Fort Lauderdale, FL 33301. The listed phone number is (561) 323-6593.

What is Marquis MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Marquis MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2347797) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marquis MD LLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.