Organization Active NPI

Zannis Family Medical Center Inc

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1285755405
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8070 Issued in FL
Legal business name
ZANNIS FAMILY MEDICAL CENTER INC
Practice address
1500 N University Dr Ste 112
Coral Springs, FL 33071-6071
Phone
(954) 346-3120
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Jason Matthew Zannis, D.O
Title
Docter
Phone
(954) 346-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS8070 FL Primary

Addresses

Primary practice location

1500 N University Dr Ste 112
Coral Springs, FL 33071-6071

Mailing address

1500 N University Dr Ste 112
Coral Springs, FL 33071-6071

Other identifiers 1

IdentifierTypeStateIssuer
264476200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1500 N University Dr
Ste 112
Coral Springs, FL 33071
Phone (954) 346-3120

1500 N University Dr
Ste 110
Coral Springs, FL 33071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1285755405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716071",
            "telephone_number": "954-346-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANNIS FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ZANNIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTER",
        "authorized_official_telephone_number": "954-346-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264476200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.