Speciality at Paul G. Preste MD & Associates, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME134189 Issued in FL

Legal business name

SPECIALITY AT PAUL G. PRESTE MD & ASSOCIATES, LLC

Doing business as

Rheumatology at Preste Medical

Practice address

3075 E Commercial Blvd
Suite 1a
Fort Lauderdale, FL 33308

Phone

(954) 491-6200

Fax

(954) 491-6419

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Donna Golden

Title

Administrator

Phone

(954) 491-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rheumatology at Preste Medical Doing business as

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1205316585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E COMMERCIAL BLVD STE 1A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084318",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 E COMMERCIAL BLVD",
            "address_2": "SUITE 1A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALITY AT PAUL G. PRESTE MD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-491-6200"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME134189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE PROVIDER ID",
            "identifier": "K6RRB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology at Preste Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rheumatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.