NPIMap

Organization Active NPI

Family Medical Centre

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1316371636
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0019774 Issued in FL
Legal business name
FAMILY MEDICAL CENTRE
Practice address
3470 NW 82ND Ave
Suite 118
Doral, FL 33122-1024
Phone
(305) 398-1991
Fax
(305) 398-1994
NPI assigned
Aug 22, 2013
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Wayne H Case, MDNPI 1215928916
Title
Owner
Phone
(305) 558-3571

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
Family Medicine Physician 207Q00000X ME0019774 FL Primary

Addresses

Primary practice location

3470 NW 82ND Ave
Suite 118
Doral, FL 33122-1024

Mailing address

3410 W 84TH St
Suite 110
Hialeah, FL 33018-4906
Phone (305) 558-3571

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Centre2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3470 NW 82nd Ave
Ste 118
Doral, FL 33122
Phone (305) 398-1991

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1316371636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184906",
            "telephone_number": "305-558-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 NW 82ND AVE",
            "address_2": "SUITE 118",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221024",
            "telephone_number": "305-398-1991",
            "fax_number": "305-398-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-558-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0019774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.