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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Provita Physician Group Corp

Clinic/Center in Hollywood, FL · enumerated 2022 · authorized official Ileana Delgado, Office Manager.

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

National Provider Identifier

1992435622

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Registry record

Entity type Organization (Type 2)
Legal business name Provita Physician Group Corp
Parent organization Provita Physician Group Corp
Practice address 3157 N University Dr Ste 103, Hollywood, FL, 33024
Phone (954) 322-8985
Fax (954) 322-8981
Enumeration date Jun 15, 2022
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ileana Delgado
Title Office Manager
Phone (305) 878-9072

Other identifiers

Identifier Type State Issuer
15388808 Other FL CAQH
APRN9243523 Other FL MEDICAL LICENSE

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Provita Physician Group Corp?
Provita Physician Group Corp is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.