Lauderdale Lakes Medical Center, Inc.
NPI 1700252079ActiveOrganization· Internal Medicine· Lauderdale Lakes, FL
Internal Medicine in Lauderdale Lakes, Florida, registered in NPPES in August 2015. The authorized official on file is Basil Mangra, M.D., Owner/Physician.
Overview
| NPI | 1700252079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2015 |
| Last updated in NPPES | Aug 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME62781 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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