The Family Practice of Tamarac, Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC7924 Issued in FL

Legal business name

THE FAMILY PRACTICE OF TAMARAC, CORP

Practice address

4699 N State Road 7
Suite B2
Lauderdale Lakes, FL 33319-5879

Phone

(954) 486-1925

Fax

(954) 486-1983

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Victoria Hatcher

Title

Administrator

Phone

(954) 486-1925

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1215113659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 NORTH STATE ROAD 7",
            "address_2": "SUITE B2",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-486-1925",
            "fax_number": "954-486-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "SUITE B2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-486-1925",
            "fax_number": "954-486-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PRACTICE OF TAMARAC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-486-1925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC7924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "MM 14257",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.