Organization · NPI-2

Brazilian Clinic LLC

Clinic/Center · Pompano Beach, FL

NPI number1669095808
StatusActive
Last updated in NPPESApr 30, 2026

Details

NPI
1669095808
Entity type
Organization (NPI-2)
Legal business name
Brazilian Clinic LLC
Organization subpart
No
Enumeration date
May 22, 2020
Certification date
Apr 30, 2026
Last updated
Apr 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
207R00000X Internal Medicine––

Other names

  • Medstation (Doing Business As)

Practice location

3402 N Andrews Ave Ext
Pompano Beach, FL 33064

Phone 954-368-1302 · Fax 954-656-3219

Mailing address

3402 N Andrews Avenue Ext
Pompano Beach, FL 33064-2067

Phone 954-368-1302 · Fax 954-656-3219

Other practice locations

2295 S Hiawassee Rd Ste 100c
Orlando, FL 32835-8746

Phone 561-344-2017

Authorized official

Neymar C Lima
Manager
9543681302

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