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NPI 1942163076ActiveOrganization· Family Medicine, Adult Medicine· St Petersburg, FL
Family Medicine, Adult Medicine in St Petersburg, Florida, registered in NPPES in December 2025. The authorized official on file is Lauren Broadway, MD, Medical Director.
Overview
| NPI | 1942163076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2025 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | — | — |
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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