Provider Demographics
NPI:1154091619
Name:APEX MEDICAL CENTERS LLC
Entity Type:Organization
Organization Name:APEX MEDICAL CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RHODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-417-5220
Mailing Address - Street 1:3042 N FEDERAL HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1400
Mailing Address - Country:US
Mailing Address - Phone:954-417-5220
Mailing Address - Fax:866-479-4761
Practice Address - Street 1:3042 N FEDERAL HWY STE 305
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1400
Practice Address - Country:US
Practice Address - Phone:954-417-5220
Practice Address - Fax:866-479-4761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109061300Medicaid