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

Lauderdale Lakes Medical Center Inc

Organization Internal Medicine Physician · NPI 1194008631

Lauderdale Lakes Medical Center Inc is an Internal Medicine Physician in Lauderdale Lakes, Florida. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2518 N State Road 7
Lauderdale Lakes, FL 33313-2777
Phone: (954) 484-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1194008631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basil Mangra — Owner · (954) 484-6440
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 21, 2011
Mailing address2518 N State Road 7, Lauderdale Lakes, FL 33313-2777

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