360 Medical PA
NPI 1508096330ActiveOrganization· Internal Medicine, Nephrology· Fort Lauderdale, FL
Internal Medicine, Nephrology in Fort Lauderdale, Florida, registered in NPPES in July 2009. The authorized official on file is Lan T. Phan, DO, President.
Overview
| NPI | 1508096330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Aug 4, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | OS7637 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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