NPIMap

Organization Active NPI

Associates in Family Practice of Broward, LLC

Doing business as Associatesmd Medical Group

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1063999878
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASSOCIATES IN FAMILY PRACTICE OF BROWARD, LLC
Doing business as
Associatesmd Medical Group
Practice address
2122 NW 62ND St Ste 110
Fort Lauderdale, FL 33309-1866
Phone
(954) 353-3181
Fax
(954) 353-3185
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Luis Felipe Lafratta
Title
Ceo
Phone
(954) 434-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2122 NW 62ND St Ste 110
Fort Lauderdale, FL 33309-1866

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

Other names 1

  • ASSOCIATESMD MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associates in Family Practice of Broward LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1063999878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 NW 62ND ST STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-353-3181",
            "fax_number": "954-353-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FAMILY PRACTICE OF BROWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "LAFRATTA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-434-1705"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATESMD MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.