MEDICARE: LAUDERHILL MEDICAL CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1518445626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUDERHILL MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	5514 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1412
Country	:	US
Telephone Number	:	954-328-2521
Fax Number	:	877-701-4883

Provider Business Practice Location Address
First Line	:	5514 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1412
Country	:	US
Telephone Number	:	954-328-2521
Fax Number	:	877-701-4883

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CLAUDE BAROSY
Credential	:	MD
Telephone Number	:	954-328-2521

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	07/31/2018

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