Organization Active NPI

Rma of Sunrise LLC

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1306180104
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RMA OF SUNRISE LLC
Practice address
1208 N University Dr BLDG 7
Plantation, FL 33322-4724
Phone
(954) 583-0412
Fax
(954) 584-3906
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mr. Jeff Dudley
Title
Coo
Phone
(954) 318-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1208 N University Dr BLDG 7
Plantation, FL 33322-4724

Mailing address

1208 N University Dr BLDG 7
Plantation, FL 33322-4724
Phone (954) 583-0412

National Provider Directory

National Provider Directory

Locations

1208 N University Dr
Bldg 7
Plantation, FL 33322
Phone (954) 583-0412

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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1306180104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N UNIVERSITY DR BLDG 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224724",
            "telephone_number": "954-583-0412",
            "fax_number": "954-584-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N UNIVERSITY DR BLDG 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224724",
            "telephone_number": "954-583-0412",
            "fax_number": "954-584-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMA OF SUNRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-318-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.