Youthful MD LLC
Family Medicine in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1982244463
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1982244463
- Entity type
- Organization (NPI-2)
- Legal business name
- Youthful MD LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
401 E Las Olas Blvd Ste 130-135Fort Lauderdale, FL 33301-2210
Phone 770-695-5500
Mailing address
401 E Las Olas Blvd Ste 130-135Fort Lauderdale, FL 33301-2210
Phone 770-695-5500 · Fax 800-814-3301
Authorized official
Offer Danan
Ceo
7706955500
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