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PRIMARY CARE PRACTITIONERS AND ASSOCIATES NPI 1790739100


NPI Information

NPI: 1790739100
Provider Name: PRIMARY CARE PRACTITIONERS AND ASSOCIATES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
102 NE 2ND AVE
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 894-0522
Get Directions

PRIMARY CARE PRACTITIONERS AND ASSOCIATES is a family medicine in Hallandale Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE PRACTITIONERS AND ASSOCIATES NPI is 1790739100. The provider is registered as an organization entity type and is a single 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 Joe Christen .
The authorized official title is Owner and has the following contact phone number (954) 894-0522.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/24/2009.


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
1207Q00000XFamily MedicineFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121701MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
24439350001MEDICARE NSCFLORIDA
3207Q00000XOTHERFLORIDATAXONOMIES
4Y21701OTHERFLORIDABC/BS
5254320600MEDICAIDFLORIDA

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

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