Active NPI
Affordable Clinic,LLC
- Family Medicine Physician
- Greenacres, FL
National Provider Identifier
1154184752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2024
- 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
- Marie Denise JN Pierre Metellus, ARNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Greenacres, FL
- NPI 1861191124
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"
}
]
}
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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.