Provider Demographics
NPI:1518445626
Name:LAUDERHILL MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:LAUDERHILL MEDICAL CENTER LLC
Other - Org Name:LAUDERHILL MEDICAL CENTER LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAROSY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-328-2521
Mailing Address - Street 1:5514 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1412
Mailing Address - Country:US
Mailing Address - Phone:954-328-2521
Mailing Address - Fax:877-701-4883
Practice Address - Street 1:5514 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1412
Practice Address - Country:US
Practice Address - Phone:954-328-2521
Practice Address - Fax:877-701-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty