Active NPI
Biofourmis Care FL PLLC
- Internal Medicine Physician
- Orange Park, FL
National Provider Identifier
1174299333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 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 DirectoryLocations
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.