# REDTAG-19, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Red Tag-19 LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942806260
- **Authorized official:** DR. LATA SHINTRE MD (CEO/FOUNDER)
- **Authorized official phone:** (954) 482-3740

## Contact information

- **Practice address:** 8765 WATERCREST CIR E, PARKLAND, FL 33076-2853
- **Practice address phone:** (954) 482-3740
- **Practice address fax:** (719) 245-1341
- **Mailing address:** 8765 WATERCREST CIR E, PARKLAND, FL 33076-2853
- **Mailing address phone:** (954) 482-3740
- **Mailing address fax:** (719) 245-1341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2020
- **Last updated:** 12/11/2020