Organization Active NPI

Dishmey-Health LLC

  • Primary Care Clinic/Center
  • Hollywood, FL
National Provider Identifier
1104765205
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DISHMEY-HEALTH LLC
Practice address
1010 S 63Rd Ave
Hollywood, FL 33023-1738
Phone
(754) 366-5831
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ezequiel Dishmey, DISHMEYNPI 1003609991
Title
Owner
Phone
(754) 366-5831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1010 S 63Rd Ave
Hollywood, FL 33023-1738

Mailing address

1010 S 63Rd Ave
Hollywood, FL 33023-1738
Phone (754) 366-5831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1104765205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 63RD AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231738",
            "telephone_number": "754-366-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 63RD AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231738",
            "telephone_number": "754-366-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISHMEY-HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "DISHMEY",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-366-5831",
        "authorized_official_credential": "DISHMEY"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.