Provider profile · NPI 1942022413

5630 Llc

Internal Medicine · Fort Lauderdale, FL · NPI 1942022413 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Internal Medicine

Enumerated

Oct 28, 2024

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING5630 OAKTREE AVE Fort Lauderdale, FL 33312-6375847-571-4323
LOCATION5630 OAKTREE AVE Fort Lauderdale, FL 33312-6375847-571-4323

View on NPPES registry ↗

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