NPIMap

Organization Active NPI

Tenet Florida Physician Services, LLC

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1124352117
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TENET FLORIDA PHYSICIAN SERVICES, LLC
Practice address
3901 NW 79TH Ave
Ste 222
Doral, FL 33166-6554
Phone
(305) 593-1122
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mr. J. Scott Richardson
Title
SVP, Ops Finance & Pmi, Tenet
Phone
(469) 893-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3901 NW 79TH Ave
Ste 222
Doral, FL 33166-6554

Mailing address

5810 Coral Ridge Dr
Ste 300
Coral Springs, FL 33076-3374
Phone (954) 509-3650

National Provider Directory

National Provider Directory
Tax ID family
Tenet Florida Physician Services LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1124352117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 CORAL RIDGE DR",
            "address_2": "STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763374",
            "telephone_number": "954-509-3650",
            "fax_number": "954-796-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE",
            "address_2": "STE 222",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "305-593-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET FLORIDA PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SVP, OPS FINANCE & PMI, TENET",
        "authorized_official_telephone_number": "469-893-6960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.