Organization Active NPI

Physicians Care Clinic LLC

  • Multi-Specialty Clinic/Center
  • Plantation, FL
National Provider Identifier
1003225475
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHYSICIANS CARE CLINIC LLC
Practice address
4100 S Hospital Dr
Suite #111
Plantation, FL 33317-2813
Phone
(954) 585-1996
Fax
(954) 785-1998
NPI assigned
Aug 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Elias Rovito, MD
Title
Doctor
Phone
(954) 585-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4100 S Hospital Dr
Suite #111
Plantation, FL 33317-2813

Mailing address

4100 S Hospital Dr
Suite #111
Plantation, FL 33317-2813
Phone (954) 585-1996

Other identifiers 1

IdentifierTypeStateIssuer
ME30354OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

4100 S Hospital Dr
Ste 111
Plantation, FL 33317
Phone (954) 581-8706

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1003225475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S HOSPITAL DR",
            "address_2": "SUITE #111",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-585-1996",
            "fax_number": "954-785-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S HOSPITAL DR",
            "address_2": "SUITE #111",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-585-1996",
            "fax_number": "954-785-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "ROVITO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-585-1996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME30354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.