Organization Active NPI

Practice Health, Inc.

  • General Practice Physician
  • Palmetto Bay, FL
National Provider Identifier
1306112347
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRACTICE HEALTH, INC.
Practice address
9780 E Indigo St
Suite 204
Palmetto Bay, FL 33157-5609
Phone
(305) 252-9485
Fax
(305) 252-9486
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Mr. Raymond Levy
Title
Ceo
Phone
(305) 219-8055

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9780 E Indigo St
Suite 204
Palmetto Bay, FL 33157-5609

Mailing address

9780 E Indigo St
Suite 204
Palmetto Bay, FL 33157-5609
Phone (305) 252-9485

National Provider Directory

National Provider Directory

Locations

9780 E Indigo St
Ste 204
Palmetto Bay, FL 33157
Phone (305) 252-9485

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1306112347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 E INDIGO ST",
            "address_2": "SUITE 204",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575609",
            "telephone_number": "305-252-9485",
            "fax_number": "305-252-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 E INDIGO ST",
            "address_2": "SUITE 204",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575609",
            "telephone_number": "305-252-9485",
            "fax_number": "305-252-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-219-8055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.