Organization Active NPI

Tamer Gozleveli DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Pembroke Pines, FL
National Provider Identifier
1295964237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME83787 Issued in FL
Legal business name
TAMER GOZLEVELI DO PA
Practice address
1 SW 129TH Ave Ste 109
Pembroke Pines, FL 33027-1716
Phone
(954) 450-9595
Fax
(877) 671-4101
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gokhan Guvenli, MDNPI 1043249923
Title
Medical Director
Phone
(954) 450-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X ME83787 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 109
Pembroke Pines, FL 33027-1716

Mailing address

1 SW 129TH Ave
Suite 304
Pembroke Pines, FL 33027-1761
Phone (954) 450-9595

Other practice location 1

12600 Pembroke Rd Ste 100
Miramar, FL 33027-2544
Phone (954) 450-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100816000458 FL Part B Supplier - Clinic/Group Practice 0749314524 Receives reassigned benefits from 6 practitioners
Practice locations: Pembroke Pines, FL

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
10D0907708Tamer Gozleveli DO PA1 SW 129TH Ave Ste 109, Pembroke Pines, FL 33027Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295964237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-450-9595",
            "fax_number": "954-450-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271716",
            "telephone_number": "954-450-9595",
            "fax_number": "877-671-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Pembroke Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330272544",
            "country_code": "US",
            "telephone_number": "954-450-9595",
            "fax_number": "877-671-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMER GOZLEVELI DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUVENLI",
        "authorized_official_first_name": "GOKHAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-450-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME83787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.