Active NPI
The Medical Group of South Florida Inc
- Specialist
- Jupiter, FL
National Provider Identifier
1104126952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THE MEDICAL GROUP OF SOUTH FLORIDA INC
- Practice address
- 1094 Military TRL
Jupiter, FL 33458-7021 - Phone
- (561) 622-6111
- Fax
- (561) 622-1176
- NPI assigned
- Oct 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Smith, DC
- Title
- Owner
- Phone
- (561) 622-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1094 Military TRL
Jupiter, FL 33458-7021
Mailing address
1094 Military TRL Dept 4101
Jupiter, FL 33458-7021
Phone (561) 622-6111
Other practice location 1
4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284
Phone (561) 255-3131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000S2 | Other | FL | BLUE SHIELD OF FLORIDA |
| 99567 | Other | FL | BCBS |
| 002251800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- The Medical Group of South
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Palm Springs, FL
- NPI 1689852915
-
- Chiropractor
- West Palm Beach, FL
- NPI 1801108006
-
- Medical Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1609032309
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1831283399
-
- Specialist
- West Palm Beach, FL
- NPI 1023454063
-
- Specialist
- Jupiter, FL
- NPI 1184047276
Locations
1094 Military Trl
#4101
Jupiter, FL 33458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536019200000",
"number": "1104126952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1094 MILITARY TRL DEPT 4101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587021",
"telephone_number": "561-622-6111",
"fax_number": "561-246-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 MILITARY TRL",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587021",
"telephone_number": "561-622-6111",
"fax_number": "561-622-1176"
}
],
"practiceLocations": [
{
"address_1": "4700 N Congress Ave Ste 103",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334073284",
"country_code": "US",
"telephone_number": "561-255-3131",
"fax_number": "855-346-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE MEDICAL GROUP OF SOUTH FLORIDA INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-27",
"last_updated": "2018-09-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-622-6111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FLORIDA",
"identifier": "000S2",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "99567",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002251800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- The Dental Group LLC
- The Healing and Creative Arts Center, Inc
- The Healing and Creative Arts Center, Inc
- The Little Royals Dentistry for Kids, PLLC
- The Lung Institute of Palm Beach PL
- The Medical Group of South Florida Inc
- The Medical Group of South Florida, Inc.
- The Medical Group of South Florida, Inc.
- The Neurobiological Institute
- The Orthopaedic Institute, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.