Organization Active NPI

Data Medical Inc

  • Family Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1124652045
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 29, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.