Pompano Medical Specialty Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

POMPANO MEDICAL SPECIALTY GROUP

Practice address

2700 W Atlantic Blvd Ste 214
Pompano Beach, FL 33069-5727

Phone

(561) 932-8155

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Mayra Fuentes

Title

Ceo

Phone

(561) 932-8155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1124526207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W ATLANTIC BLVD STE 214",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695727",
            "telephone_number": "561-932-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W ATLANTIC BLVD STE 214",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695727",
            "telephone_number": "561-932-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO MEDICAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-932-8155"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pompano ER Pediatrics LLC
• Pompano Family Chiropractic Inc
• Pompano Family Smiles LLC
• Pompano Gardens at M&M Assisted Living LLC
• Pompano Medical Center,Inc
• Pompano Medical Supply Inc
• Pompano Physical Rehabilitation Center, Inc
• Pompano Spine and Wellness, PA
• Pompano Spine Associates, LLC
• Cathy Ponczek, LMFT, CAP

• Ophthalmology Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Ophthalmology Physician in Florida

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

Verify at the official NPI Registry.