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Lauderdale Lakes Medical Center Inc

NPI 1194008631ActiveOrganization· Internal Medicine· Lauderdale Lakes, FL

Internal Medicine in Lauderdale Lakes, Florida, registered in NPPES in September 2011. The authorized official on file is Basil Mangra, MD, Owner.

Overview

NPI1194008631
StatusActive
Entity typeOrganization
NPI issuedSep 21, 2011
Last updated in NPPESSep 21, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in Lauderdale Lakes

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