Organization Active NPI

Preventive Medicine Associates LLC

  • Family Medicine Physician
  • Southwest Ranches, FL
National Provider Identifier
1093084014
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREVENTIVE MEDICINE ASSOCIATES LLC
Practice address
4800 SW 198TH Ter
Southwest Ranches, FL 33332-1135
Phone
(954) 600-9047
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Curtis Erwin Wilkinson, DO
Title
Dr
Phone
(954) 600-9047

Specialties & licenses 1

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

Addresses

Primary practice location

4800 SW 198TH Ter
Southwest Ranches, FL 33332-1135

Mailing address

4800 SW 198TH Ter
Southwest Ranches, FL 33332-1135
Phone (954) 600-9047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1093084014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SW 198TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321135",
            "telephone_number": "954-600-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW 198TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321135",
            "telephone_number": "954-600-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "954-600-9047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.