Organization Active NPI

Affordable Clinic,LLC

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1154184752
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AFFORDABLE CLINIC,LLC
Doing business as
Affordable Clinic,LLC
Practice address
5419 Wellcraft Dr
Greenacres, FL 33463-5972
Phone
(561) 293-1833
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Marie Denise JN Pierre Metellus, ARNPNPI 1861191124
Title
Provider/Manager
Phone
(561) 293-1833

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5419 Wellcraft Dr
Greenacres, FL 33463-5972

Mailing address

5419 Wellcraft Dr
Greenacres, FL 33463-5972
Phone (561) 293-1833

Other names 1

  • Affordable Clinic,LLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1154184752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 WELLCRAFT DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635972",
            "telephone_number": "561-293-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 WELLCRAFT DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635972",
            "telephone_number": "561-293-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "JN PIERRE METELLUS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PROVIDER/MANAGER",
        "authorized_official_telephone_number": "561-293-1833",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Clinic,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.