Vanguard Medical Group, Llc

LBN: Vanguard Medical Group, Llc
Vanguard Medical Group, Llc is an health care organization with primary practice located at 3401 Davie Blvd , Fort Lauderdale FL 33312-2758. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Vanguard Medical Group, Llc can be contacted via phone (954) 436-6660, or through Hasan, Mian via phone (954) 436-6660.

Contact Information

Primary practice address
3401 Davie Blvd Fort Lauderdale FL 33312-2758
Phone: (954) 436-6660
Fax: (954) 436-6655
Website:
Map and Directions
Authorized official contact:
Name: Hasan, Mian Doctor of Medicine (MD)
Phone: (954) 436-6660

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1346761392
LBN Legal business name Vanguard Medical Group, Llc
DBA Doing business as
Authorized official Hasan, Mian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2017
Last updated Jun 29th, 2017 - about 7 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 1346761392 NPPES
Florida MEDICAID 280980001
Florida MEDICAID 280980000

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