Organization Active NPI

Rma of Tamarac LLC

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1205257771
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RMA OF TAMARAC LLC
Practice address
7401 N University Dr
Suite 105
Tamarac, FL 33321-2979
Phone
(954) 722-0130
Fax
(954) 582-9453
NPI assigned
Dec 30, 2013
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mr. Jeffrey P Dudley
Title
Coo
Phone
(954) 318-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

7401 N University Dr
Suite 105
Tamarac, FL 33321-2979

Mailing address

7401 N University Dr
Suite 105
Tamarac, FL 33321-2979
Phone (954) 722-0130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1205257771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212979",
            "telephone_number": "954-722-0130",
            "fax_number": "954-582-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212979",
            "telephone_number": "954-722-0130",
            "fax_number": "954-582-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMA OF TAMARAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-318-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.