NPIMap

Organization Active NPI

The Medical Group of South Florida, Inc

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1023454063
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE MEDICAL GROUP OF SOUTH FLORIDA, INC
Practice address
4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284
Phone
(561) 622-6111
Fax
(561) 622-1176
NPI assigned
May 17, 2013
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Dr. Joshua Smith, DCNPI 1750301461
Title
Ceo/President
Phone
(561) 622-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284

Mailing address

PO Box 310754
Dept 4101
Boca Raton, FL 33431-0754
Phone (561) 622-6111

Other identifiers 1

IdentifierTypeStateIssuer
002251800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
The Medical Group of South Florida Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1023454063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310754",
            "address_2": "DEPT 4101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310754",
            "telephone_number": "561-622-6111",
            "fax_number": "561-244-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073284",
            "telephone_number": "561-622-6111",
            "fax_number": "561-622-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL GROUP OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "561-622-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002251800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.