Organization Active NPI

Doctors Health Group of South Florida Inc

  • Internal Medicine Physician
  • Coconut Creek, FL
National Provider Identifier
1093723348
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS HEALTH GROUP OF SOUTH FLORIDA INC
Practice address
3850 Coconut Creek Pkwy
Coconut Creek, FL 33066-1600
Phone
(954) 693-9133
Fax
(954) 641-1451
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Mr. Juan C Basto
Title
Owner
Phone
(954) 817-1010

Specialties & licenses 1

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

Addresses

Primary practice location

3850 Coconut Creek Pkwy
Coconut Creek, FL 33066-1600

Mailing address

3850 Coconut Creek Pkwy Ste 3
Coconut Creek, FL 33066-1600
Phone (954) 973-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000054 FL Part B Supplier - Clinic/Group Practice 7214901586 Receives reassigned benefits from 13 practitioners
Practice locations: Miami Gardens, FL; Plantation, FL; Pembroke Pines, FL; Miami, FL; Hialeah, FL; Coconut Creek, FL

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
10D0698546Doctors Health Group of South Florida3850 Coconut Creek Pkwy Ste 3, Coconut Creek, FL 33066Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

1487 Lyons Rd
Coconut Creek, FL 33063
Phone (954) 973-9222

3850 Coconut Creek Pkwy
Ste D
Coconut Creek, FL 33066

615 SW 57th Ave
Miami, FL 33144
Phone (305) 261-0964

7900 NW 27th Ave
Ste A-3
Miami, FL 33147

615 SW 57th Ave
Ste D
Miami, FL 33144

8900 SW 24th St
Ste 101
Miami, FL 33165
Phone (305) 223-1000

18921 NW 2nd Ave
Miami Gardens, FL 33169
Phone (305) 652-7333

18921 NW 2nd Ave
Ste C
Miami Gardens, FL 33169
Phone (305) 652-7824

10067 Pines Blvd
#A
Pembroke Pines, FL 33024
Phone (954) 430-6900

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1093723348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 COCONUT CREEK PKWY STE 3",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661600",
            "telephone_number": "954-973-9222",
            "fax_number": "954-973-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661600",
            "telephone_number": "954-693-9133",
            "fax_number": "954-641-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HEALTH GROUP OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "BASTO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-817-1010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.