Active NPI
South Florida Hair Restoration
- Primary Care Clinic/Center
- Tamarac, FL
National Provider Identifier
1114644002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SOUTH FLORIDA HAIR RESTORATION
- Practice address
- 7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932 - Phone
- (954) 960-5763
- Fax
- (954) 586-4178
- NPI assigned
- Oct 21, 2022
- 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. Real Martin, MD
- Title
- Medical Director/Owner
- Phone
- (954) 592-5718
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932
Mailing address
7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932
Phone (954) 960-5763
Other names 1
- Dr. Martin's Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7710 NW 71st Ct
Ste 303
Tamarac, FL 33321
Phone (954) 726-6868
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Coconut Creek, FL
- NPI 1538143094
-
- General Practice Physician
- Clermont, FL
- NPI 1770991010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1114644002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 NW 71ST CT STE 303",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212932",
"telephone_number": "954-960-5763",
"fax_number": "954-586-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 NW 71ST CT STE 303",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212932",
"telephone_number": "954-960-5763",
"fax_number": "954-586-4178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA HAIR RESTORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-21",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "REAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "954-592-5718",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Martin's Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
- Robert J Snyder, D.P.M.
- Tanveer Sobhan, MD
- Ramesh Sogal, M.D.
- Sonocare Diagnostic Imaging Inc
- South Florida Eye Institute, Inc.
- South Florida Injury Centers, Inc.
- South Florida Neurosurgical Institute Inc
- South Florida Oncology and Hematology Consultants LLC
- South Florida Pain & Rehabilitation of West Broward
- South Florida Primary Care L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.