Provider Demographics
NPI:1699564856
Name:LVG HEALTH GROUP LLC
Entity type:Organization
Organization Name:LVG HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-277-1621
Mailing Address - Street 1:1860 N PINE ISLAND RD STE 105
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5234
Mailing Address - Country:US
Mailing Address - Phone:888-508-6036
Mailing Address - Fax:689-304-2180
Practice Address - Street 1:1860 N PINE ISLAND RD STE 105
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5234
Practice Address - Country:US
Practice Address - Phone:888-508-6036
Practice Address - Fax:689-304-2180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service