Organization Active NPI

South Florida Primary Care L.L.C.

  • General Practice Physician
  • Tamarac, FL
National Provider Identifier
1124371281
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUTH FLORIDA PRIMARY CARE L.L.C.
Practice address
8333 W McNab Rd Ste 113
Tamarac, FL 33321-3203
Phone
(754) 222-8524
Fax
(754) 222-8596
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Raul Orlando Caner, M.D.
Title
Owner
Phone
(754) 222-8524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8333 W McNab Rd Ste 113
Tamarac, FL 33321-3203

Mailing address

8333 W McNab Rd Ste 113
Tamarac, FL 33321-3203
Phone (754) 222-2852

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": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1124371281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 113",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "754-222-2852",
            "fax_number": "754-222-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 113",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "754-222-8524",
            "fax_number": "754-222-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PRIMARY CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "CANER",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-222-8524",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.