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PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA INC. NPI 1356679989


NPI Information

NPI: 1356679989
Provider Name: PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
102 NE 2ND AVE
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 894-0522
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PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA, INC. is a general practice in Hallandale Beach, FL. PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA, INC. NPI is 1356679989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 NE 2ND AVE
HALLANDALE BEACH, FL
ZIP 33009-212
Phone: (954) 894-0522
Fax: (954) 964-1244

The provider's authorized official is Ivory J Christen .
The authorized official title is Vice President and has the following contact phone number (954) 894-0522.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 11/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeARNP1714142FLORIDANo
2208D00000XGeneral PracticeOS0001922FLORIDANo
3208D00000XGeneral PracticeOS0007497FLORIDANo
4208D00000XGeneral PracticeME0049240FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.