Florida Practice & Benefits Group Management LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FLORIDA PRACTICE & BENEFITS GROUP MANAGEMENT LLC

Practice address

30 Winding Creek Way
Ormond Beach, FL 32174-6773

Phone

(386) 316-0482

NPI assigned

Jun 19, 2013

Last updated

Jun 19, 2013By 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. Caroline Diane Boyd

Title

Pres/Managing Member

Phone

(386) 316-0482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1295174589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINDING CREEK WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746773",
            "telephone_number": "386-316-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINDING CREEK WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746773",
            "telephone_number": "386-316-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PRACTICE & BENEFITS GROUP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRES/MANAGING MEMBER",
        "authorized_official_telephone_number": "386-316-0482",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.