Provita Physician Group Corp
NPI 1992435622ActiveOrganization· Family Medicine· Lauderdale Lakes, FL
Family Medicine in Lauderdale Lakes, Florida, registered in NPPES in June 2022, part of Provita Physician Group Corp. The authorized official on file is Osmani Placencia, NP, Office Manager.
Overview
| NPI | 1992435622 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Provita Physician Group Corp |
| NPI issued | Jun 15, 2022 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
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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