NPI 1124731047

Erna Ldp

Organisation Preferred Provider Organization Fort Lauderdale, FL

Practice location

Address: 4848 NW 24th CT Unit 428, Fort Lauderdale, FL 33313
Phone: (772) 444-2779
Mailing address: 3901 W Broward Blvd Unit 120504, Fort Lauderdale, FL 33312-8422

Authorised official

Name: Erna Julien
Title: Ceo
Phone: (772) 444-2779

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1124731047
Entity type: Organization
NPI issued: 5 Jan 2023
Record last updated: 5 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.