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

Manor Medical Center Inc

Organization Internal Medicine Physician · NPI 1114228368

Manor Medical Center Inc is an Internal Medicine Physician in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

1000 NW 10th Ave
Fort Lauderdale, FL 33311-6137
Phone: (954) 728-9200
Fax: (954) 728-8660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME49891 (FL)

Record details

NPI number1114228368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yves Jodesty — Medical Doctor · (954) 728-9200
NPI enumeratedNovember 4, 2010
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address1040 Nw 10th Ave, Fort Lauderdale, FL 33311-6101

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