Plantation Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PLANTATION MEDICAL CLINIC PA

Practice address

100 NW 82ND Ave
Ste 206
Plantation, FL 33324-1899

Phone

(954) 424-4401

Fax

(954) 424-7603

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Peter P Simek, M.DNPI 1568443448

Title

Owner President

Phone

(954) 424-4401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter P Simek, MD

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1568443448
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1245423292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241899",
            "telephone_number": "954-424-4401",
            "fax_number": "954-424-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241899",
            "telephone_number": "954-424-4401",
            "fax_number": "954-424-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "SIMEK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-424-4401",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantation Family Medical Center
• Plantation General Hospital L P (Plantation General Hospital)
• Plantation Health and Wellness, LLC
• Plantation Medical and Surgical PA
• Plantation Medical Clinic
• Plantation Nursing & Rehabilitation Center, LLC
• Plantation Open MRI LLC (Pom MRI & Imaging Center of Plantation)
• Plantation Oral Surgery, PLLC
• Plantation Ortho, LLC
• Plantation Palms Dental P.a. (Palms Dental)

• Internal Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.