Personalized Medicine Institute, Llc.

LBN: Personalized Medicine Institute, Llc.
Personalized Medicine Institute, Llc. is an health care organization with primary practice located at 4765 Sw 148Th Ave Ste 404 , Davie FL 33330-2128. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Personalized Medicine Institute, Llc. can be contacted via phone (203) 300-0147, or through De Freitas, Ivel Cristina via phone (203) 300-0147.

Contact Information

Primary practice address
4765 Sw 148Th Ave Ste 404 Davie FL 33330-2128
Phone: (203) 300-0147
Fax: (954) 634-4293
Website:
Map and Directions
Authorized official contact:
Name: De Freitas, Ivel Cristina Doctor of Medicine (MD)
Phone: (203) 300-0147

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1376011551
LBN Legal business name Personalized Medicine Institute, Llc.
DBA Doing business as
Authorized official De Freitas, Ivel Cristina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2018
Last updated Mar 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376011551 NPPES
Florida Other ME107216 INTERNAL MEDICINE

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