NPIMap

Organization Active NPI

Premiermd Mso,LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1194129759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIERMD MSO,LLC
Practice address
3465 Galt Ocean Dr
Suite#203
Ft Lauderdale, FL 33308-7077
Phone
(954) 561-5135
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Victor Toledano, M.D.
Title
Managing Member
Phone
(954) 566-7717

Specialties & licenses 1

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

Addresses

Primary practice location

3465 Galt Ocean Dr
Suite#203
Ft Lauderdale, FL 33308-7077

Mailing address

3465 Galt Ocean Dr
Suite#203
Ft Lauderdale, FL 33308-7077
Phone (954) 561-5135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194129759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "SUITE#203",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "SUITE#203",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERMD MSO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-566-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.