Organization Active NPI

Invictus Medical Services and Associates

  • Family Medicine Physician
  • Coconut Creek, FL
National Provider Identifier
1306571435
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INVICTUS MEDICAL SERVICES AND ASSOCIATES
Practice address
4400 W Sample Rd Ste 140
Coconut Creek, FL 33073-3458
Phone
(954) 842-6434
Fax
(954) 827-0595
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Janett Jalil Martinez
Title
President
Phone
(954) 960-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4400 W Sample Rd Ste 140
Coconut Creek, FL 33073-3458

Mailing address

4400 W Sample Rd Ste 140
Coconut Creek, FL 33073-3458
Phone (954) 842-6434

Other names 1

  • Invictus Medical & Wellness Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220930000199 FL Part B Supplier - Clinic/Group Practice 1153707088 Receives reassigned benefits from 1 practitioner
Practice locations: Coconut Creek, 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
10D2268115Invictus Medical & Wellness Group4400 West Sample Rd Suite 140, Coconut Creek, FL 33073Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

4400 W Sample Rd
Ste 140
Coconut Creek, FL 33073
Phone (954) 842-6434

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": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1306571435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 140",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733458",
            "telephone_number": "954-842-6434",
            "fax_number": "954-827-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 140",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733458",
            "telephone_number": "954-842-6434",
            "fax_number": "954-827-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS MEDICAL SERVICES AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "JALIL MARTINEZ",
        "authorized_official_first_name": "JANETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-960-5909",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invictus Medical & Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.