Organization Active NPI

Johnson Medical Center Corp

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1306870571
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC5654 Issued in FL
Legal business name
JOHNSON MEDICAL CENTER CORP
Practice address
6517 Taft St
#100
Hollywood, FL 33024-4050
Phone
(954) 962-5300
Fax
(954) 962-0100
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Maria Urbina
Title
Owner
Phone
(954) 962-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X HCC5654 FL Primary

Addresses

Primary practice location

6517 Taft St
#100
Hollywood, FL 33024-4050

Mailing address

6517 Taft St
#100
Hollywood, FL 33024-4050
Phone (954) 962-5300

National Provider Directory

National Provider Directory

Locations

6801 Lake Worth Rd
Ste 324
Greenacres, FL 33467
Phone (561) 779-1451

6517 Taft St
Ste 100
Hollywood, FL 33024
Phone (954) 962-5300

6517 Taft St
#100
Hollywood, FL 33024
Phone (954) 962-5300

7900 NW 33rd St
Ste 106
Pembroke Pines, FL 33024
Phone (954) 962-5300

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1306870571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "address_2": "#100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244050",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "address_2": "#100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244050",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-962-5300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.