OrganizationActive
360 Medical PA
NPI 1508096330 · Nephrology Physician · Fort Lauderdale, FL
360 Medical PA is a Nephrology Physician organization in Fort Lauderdale, FL (NPI 1508096330).
Provider details
- NPI number
- 1508096330
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lan Phan, President(954) 790-2251
- License
- OS7637 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2004 Ne 49th St
Fort Lauderdale, FL 33308-4524
Phone: (954) 790-2251
Fax: (954) 206-2200
Street-level locationGet directions
Mailing address
2004 Ne 49th St
Fort Lauderdale, FL 33308-4524
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2009-08-04
Frequently asked questions
- What is 360 Medical PA's NPI number?
- 360 Medical PA's National Provider Identifier (NPI) is 1508096330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 360 Medical PA?
- 360 Medical PA is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is 360 Medical PA located?
- 360 Medical PA's practice location on file with NPPES is 2004 Ne 49th St, Fort Lauderdale, FL 33308-4524.
- What is 360 Medical PA's phone number?
- The practice phone number listed in the NPPES registry for 360 Medical PA is (954) 790-2251.
- Who is the authorized official for 360 Medical PA?
- The authorized official listed on 360 Medical PA's NPPES record is Lan Phan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 360 Medical PA's NPI active?
- Yes — 360 Medical PA's NPI (1508096330) is active in the NPPES registry as of the last update on 2009-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.