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360 Medical PA

Nephrology Physician in Fort Lauderdale, FL · enumerated 2009 · authorized official Lan Phan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508096330

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Registry record

Entity type Organization (Type 2)
Legal business name 360 Medical PA
Practice address 2004 Ne 49th St, Fort Lauderdale, FL, 33308
Fax (954) 206-2200
Enumeration date Jul 14, 2009
Last updated in NPPES Aug 4, 2009

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License OS7637 (FL) Primary

Authorized official

Name Lan Phan
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 360 Medical PA?
The NPI for 360 Medical PA is 1508096330, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 360 Medical PA?
NPPES lists Lan Phan (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-04.