OrganizationActive
121 Medical Center LLC
NPI 1982384814 · Internal Medicine Physician · Fort Lauderdale, FL
Provider details
- NPI number
- 1982384814
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- 121 Medical Center LLC
- Authorized official
- Rosny Simeon, Manager
Practice location
3333 W Commercial Blvd Ste 110
Fort Lauderdale, FL 33309-3407
Phone: (954) 530-9770
Mailing address
11903 Southern Blvd Ste 108
Royal Palm Beach, FL 33411-7644
Registry dates
- Enumerated
- 2023-07-25
- Last updated
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.