Organization Active NPI

Holy Cross Primary Care, Inc

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1063963130
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOLY CROSS PRIMARY CARE, INC
Practice address
8190 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5706
Phone
(954) 344-6537
Fax
(954) 344-2818
NPI assigned
Oct 24, 2016
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLY CROSS PRIMARY CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Robert Casalou
Title
President & Ceo
Phone
(734) 712-3792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

8190 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5706

Mailing address

PO Box 70700
Ft Lauderdale, FL 33307-0700
Phone (954) 351-4702

National Provider Directory

National Provider Directory
Part of
Holy Cross Primary Care Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1063963130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70700",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333070700",
            "telephone_number": "954-351-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 ROYAL PALM BLVD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655706",
            "telephone_number": "954-344-6537",
            "fax_number": "954-344-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS PRIMARY CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY CROSS PRIMARY CARE, INC",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "CASALOU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "734-712-3792"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.