Organization Active NPI

Rapha Medical Center of Florida, LLC

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1043779317
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RAPHA MEDICAL CENTER OF FLORIDA, LLC
Practice address
8037 W McNab Rd
Tamarac, FL 33321-3219
Phone
(954) 540-1507
NPI assigned
Mar 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Authorized official

Name
Clausette Emmanuel
Title
Owner
Phone
(954) 540-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8037 W McNab Rd
Tamarac, FL 33321-3219

Mailing address

8037 W McNab Rd
Tamarac, FL 33321-3219
Phone (954) 540-1507

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2164939Rapha Medical Center of Florida LLC8037 W McNab Road, Tamarac, FL 33321Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

8037 W McNab Rd
Tamarac, FL 33321
Phone (954) 338-5018

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552780800000",
    "number": "1043779317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213219",
            "telephone_number": "954-540-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213219",
            "telephone_number": "954-540-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA MEDICAL CENTER OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-03-17",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL",
        "authorized_official_first_name": "CLAUSETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-540-1507"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.