Active NPI
Alina Health Medical Center Corp.
- Family Medicine Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALINA HEALTH MEDICAL CENTER CORP.
- Practice address
- 4800 N State Road 7 Ste C
Lauderdale Lakes, FL 33319-5811 - Phone
- (305) 767-0887
- NPI assigned
- Feb 15, 2022
- 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
- Gravil Joseph, MD
- Title
- Owner
- Phone
- (305) 767-0887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
4800 N State Road 7 Ste C
Lauderdale Lakes, FL 33319-5811
Mailing address
4800 N State Road 7 Ste Abandc
Lauderdale Lakes, FL 33319-5811
Other practice location 1
4800 N State Road 7 Ste A
Lauderdale Lakes, FL 33319-5811
Phone (305) 767-0887
Other practice location 2
4800 N State Road 7 Ste B
Lauderdale Lakes, FL 33319-5811
Phone (305) 767-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lauderdale Lakes, FL
- NPI 1194459297
O20220316000743
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miramar, FL
- NPI 1164960720
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Dora, FL
- NPI 1851042006
-
- General Practice Physician
- Mount Dora, FL
- NPI 1376172015
-
- Psychiatric/Mental Health Nurse Practitioner
- Boca Raton, FL
- NPI 1487003422
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1033380944
-
- Internal Medicine Physician
- Naples, FL
- NPI 1730454323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1144975418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N STATE ROAD 7 STE ABANDC",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N STATE ROAD 7 STE C",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195811",
"telephone_number": "305-767-0887"
}
],
"practiceLocations": [
{
"address_1": "4800 N State Road 7 Ste A",
"address_purpose": "LOCATION",
"city": "Lauderdale Lakes",
"state": "FL",
"postal_code": "333195811",
"country_code": "US",
"telephone_number": "305-767-0887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 N State Road 7 Ste B",
"address_purpose": "LOCATION",
"city": "Lauderdale Lakes",
"state": "FL",
"postal_code": "333195811",
"country_code": "US",
"telephone_number": "305-767-0887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALINA HEALTH MEDICAL CENTER CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "GRAVIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-767-0887",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.