Active NPI
Gator Medical Health Inc
- Internal Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1154784932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME54757
- Legal business name
- GATOR MEDICAL HEALTH INC
- Practice address
- 900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547 - Phone
- (561) 775-0335
- Fax
- (561) 775-9492
- NPI assigned
- Mar 30, 2016
- Last updated
- May 17, 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
- Javier Canasi, M.D.
- Title
- President
- Phone
- (561) 775-0335
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME54757 | FL | Primary |
Addresses
Primary practice location
900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547
Mailing address
900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547
Phone (561) 775-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1396774584
-
- Family Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1073096236
-
- Family Medicine Physician
- Palm Beach Gardens, FL
- NPI 1821588229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1154784932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 130",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104547",
"telephone_number": "561-775-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 130",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104547",
"telephone_number": "561-775-0335",
"fax_number": "561-775-9492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATOR MEDICAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "CANASI",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-775-0335",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME54757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.