Prodoctors Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRODOCTORS MEDICAL PLLC

Practice address

1915 NE 45TH St Ste 106
Fort Lauderdale, FL 33308-5118

Phone

(305) 283-6670

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Dreher, APRN

Title

Sole Owner

Phone

(954) 605-4391

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Alexandra Georges Jennings, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1972619633
  NPD

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295498343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085118",
            "telephone_number": "305-286-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085118",
            "telephone_number": "305-283-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODOCTORS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "954-605-4391",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3177832",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17814600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.