NPIMap

Organization Active NPI

Premiermd Sim, LLC

  • Exclusive Provider Organization
  • Ft Lauderdale, FL
National Provider Identifier
1023575495
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PREMIERMD SIM, LLC
Practice address
3465 Galt Ocean Dr Ste 203
Ft Lauderdale, FL 33308-7077
Phone
(954) 561-5135
Fax
(954) 566-9997
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Victor Toledano, MD
Title
President
Phone
(954) 561-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

3465 Galt Ocean Dr Ste 203
Ft Lauderdale, FL 33308-7077

Mailing address

3465 Galt Ocean Dr Ste 203
Ft Lauderdale, FL 33308-7077
Phone (954) 561-5135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1023575495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR STE 203",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135",
            "fax_number": "954-566-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR STE 203",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135",
            "fax_number": "954-566-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERMD SIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-561-5135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.