360 MEDICAL PA – NPI #1508096330
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

360 MEDICAL PA is a provider located in FORT LAUDERDALE, FL. NPPES has assigned the NPI number 1508096330 to 360 MEDICAL PA on July 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 17 years ago on Aug 04, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 360 MEDICAL PA below.

NPI Profile for
360 MEDICAL PA

NPI Number
1508096330
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
360 MEDICAL PA
Primary location
2004 NE 49TH ST
FORT LAUDERDALE, FL 33308-4524
Phone: (954) 790-2251 Fax: (954) 206-2200
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAN PHAN
PRESIDENT
Phone: (954) 790-2251
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 FL OS7637

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.