Floridamed Health Network

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

FLORIDAMED HEALTH NETWORK

Practice address

1806 N Flamingo Rd Ste 220
Pembroke Pines, FL 33028-1030

Phone

(954) 252-8829

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Carlos Perez

Title

Chief Executive Officer

Phone

(954) 608-4140

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1023623626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260757",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330267757",
            "telephone_number": "954-608-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 220",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281030",
            "telephone_number": "954-252-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDAMED HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-608-4140"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinical",
            "affiliation": "N",
            "address_1": "1806 N Flamingo Rd Ste 220",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Florida Surgical Care LLC
• Florida Vascular Specialists, LLC
• Florida Woman Care ,LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Floridan Dental at Pines, PLLC
• Christina Floyd, PHARMD
• Juliana Foinquinos, MS SLP-CF
• Meghan Fomby, RN, FNP
• Ian Shane Fong, D.D.S.

• Contractor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.