Northern Medical Center PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME93717 Issued in FL

Legal business name

NORTHERN MEDICAL CENTER PC

Practice address

5400 S Biscayne Dr
North Port, FL 34287-1932

Phone

(941) 423-0800

Fax

(941) 423-0232

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dorit Yabrov, M.D.,

Title

Medical Director

Phone

(941) 423-0800

Specialties & licenses 1

Addresses

Tax ID family

Northern Mecial Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Mecial Center PC

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1386675718
  NPD tax ID

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255547428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7485",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342870000",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YABROV",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-423-0800",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME93717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Port Retirement Center, Inc.
• North Port Smiles LLC
• North Port Womens Care LLC
• Northern Medical and Holistic Center Corp
• Northern Medical Center Inc
• Northport Emergency Associates, PA
• Niurka Nunez
• Sherrie O'Callaghan
• Sylvia O'Connor
• Michele O'Neil, PHARMD

• Geriatric Medicine (Family Medicine) Physician in North Port, FL
• Providers in North Port, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.