Neighborhood Family Doctor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME63826 Issued in FL

Legal business name

NEIGHBORHOOD FAMILY DOCTOR

Practice address

4949 S Congress Ave
Ste B
Lake Worth, FL 33461-4731

Phone

(561) 969-1777

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ita Campos

Title

Admininstrative

Phone

(561) 969-1777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1093915316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S CONGRESS AVE",
            "address_2": "STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614731",
            "telephone_number": "561-969-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S CONGRESS AVE",
            "address_2": "STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614731",
            "telephone_number": "561-969-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD FAMILY DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "ITA",
        "authorized_official_title_or_position": "ADMININSTRATIVE",
        "authorized_official_telephone_number": "561-969-1777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.