Organization Active NPI

Alpha Dna Health, LLC

Doing business as MD Healthcare Davie

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1245802396
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALPHA DNA HEALTH, LLC
Doing business as
MD Healthcare Davie
Practice address
7750 Nova Dr Ste A4
Davie, FL 33324-5801
Phone
(954) 944-1143
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Mr. William Mazzei III, MD
Title
MD
Phone
(561) 479-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7750 Nova Dr Ste A4
Davie, FL 33324-5801

Mailing address

7750 Nova Dr Ste A4
Davie, FL 33324-5801
Phone (954) 944-1143

Other names 1

  • MD Healthcare Davie Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2230378Alpha Dna Health, LLC7750 Nova Drive A4, Davie, FL 33324Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

7740 Nova Dr
#A4
Davie, FL 33324
Phone (954) 944-1143

7750 Nova Dr
Ste A4
Davie, FL 33324
Phone (954) 473-6561

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1245802396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 NOVA DR STE A4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245801",
            "telephone_number": "954-944-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 NOVA DR STE A4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245801",
            "telephone_number": "954-944-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DNA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-479-0774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Healthcare Davie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Healthcare Davie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.