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

Lauderdale Lakes Medical Center, Inc

Organization Internal Medicine Physician · NPI 1700252079

Lauderdale Lakes Medical Center, Inc is an Internal Medicine Physician in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

3296 N State Road 7
Lauderdale Lakes, FL 33319-5615
Phone: (954) 484-6440
Fax: (954) 909-5381
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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 · Licence ME62781 (FL)

Record details

NPI number1700252079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basil Mangra — Owner/Physician · (954) 484-6440
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015
Mailing address3296 N State Road 7, Lauderdale Lakes, FL 33319-5615

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