Organization
LQV LAUDERDALE BEACH LLC
Active
Other names
Liquivida Lounge
Organization subpart
No
Provider details
NPI number
Authorized official
SAM TEJADA (OWNER)
(954) 579-4305
Entity
Organization
Contact information
Practice address
3349 NE 33RD ST STE B, FORT LAUDERDALE, FL 33308-7111
(954) 909-4998
(209) 830-4696
Mailing address
PO BOX 670902, CORAL SPRINGS, FL 33067-0016
(954) 579-4305
(209) 830-4696
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up