Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Healthy Senior Medical Group LLC

Organization General Practice Physician · NPI 1194327379

Healthy Senior Medical Group LLC provides General Practice Physician services in Fort Lauderdale, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 E Las Olas Blvd Ste 120
Fort Lauderdale, FL 33301-4261
Phone: (954) 787-8874
Fax: (954) 787-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1194327379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Pettas — Ceo · (561) 702-1299
NPI enumeratedNovember 12, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address2199 Ne 5th Ave, Boca Raton, FL 33431-7610

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