Organization Active NPI

Biofourmis Care FL PLLC

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1174299333
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BIOFOURMIS CARE FL PLLC
Practice address
1857 Wells Rd Ste 209B
Orange Park, FL 32073-2340
Phone
(310) 626-1049
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Devion Smith
Title
Director, Payer Contracting
Phone
(424) 326-8711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

1857 Wells Rd Ste 209B
Orange Park, FL 32073-2340

Mailing address

333 SE 2ND Ave Ste 2000
Miami, FL 33131-2185
Phone (310) 626-1049

Other practice location 1

333 SE 2nd Ave Ste 2000
Miami, FL 33131-2185
Phone (310) 626-0149

National Provider Directory

National Provider Directory

Locations

333 SE 2nd St
#2000
Miami, FL 33131
Phone (310) 405-2376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1174299333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SE 2ND AVE STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312185",
            "telephone_number": "310-626-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 WELLS RD STE 209B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732340",
            "telephone_number": "310-626-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SE 2nd Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312185",
            "country_code": "US",
            "telephone_number": "310-626-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIOFOURMIS CARE FL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEVION",
        "authorized_official_title_or_position": "DIRECTOR, PAYER CONTRACTING",
        "authorized_official_telephone_number": "424-326-8711"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.