Active NPI
Data Medical Inc
- Family Medicine Physician
- Loxahatchee, FL
National Provider Identifier
1124652045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DATA MEDICAL INC
- Practice address
- 12989 Southern Blvd Ste 104
Loxahatchee, FL 33470-9205 - Phone
- (561) 891-9810
- NPI assigned
- Feb 29, 2020
- 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
- Deema Maaly
- Title
- Office Administrator
- Phone
- (561) 891-9810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12989 Southern Blvd Ste 104
Loxahatchee, FL 33470-9205
Mailing address
8996 Alexandra Cir
Wellington, FL 33414-6438
Phone (561) 891-9810
Other names 1
- A Healthy Start Family Practice
National Provider Directory
National Provider DirectoryLocations
12989 Southern Blvd
Ste 104
Loxahatchee, FL 33470
Phone (561) 448-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582934400000",
"number": "1124652045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8996 ALEXANDRA CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146438",
"telephone_number": "561-891-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12989 SOUTHERN BLVD STE 104",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709205",
"telephone_number": "561-891-9810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DATA MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A",
"authorized_official_last_name": "MAALY",
"authorized_official_first_name": "DEEMA",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "561-891-9810"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Healthy Start Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.