Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Healthy Senior Medical Group LLC

Organization General Practice Physician · NPI 1194327379

Healthy Senior Medical Group LLC is a General Practice Physician in Fort Lauderdale, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 E Las Olas Blvd Ste 120
Fort Lauderdale, FL 33301-4261
Phone: (954) 787-8874
Fax: (954) 787-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1194327379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Pettas — Ceo · (561) 702-1299
NPI enumeratedNovember 12, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address2199 Ne 5th Ave, Boca Raton, FL 33431-7610

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