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Thiago Queiroz DO PA, LLC

NPI 1386364495ActiveOrganization· Physical Medicine & Rehabilitation· Lauderdale Lakes, FL

Physical Medicine & Rehabilitation in Lauderdale Lakes, Florida, registered in NPPES in August 2022. The authorized official on file is Thiago Queiroz, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1386364495
StatusActive
Entity typeOrganization
NPI issuedAug 30, 2022
Last updated in NPPESAug 30, 2022
Certified by providerAug 30, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

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