East Florida Premium Medical Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EAST FLORIDA PREMIUM MEDICAL CARE

Practice address

7421 N. University Drive
Ste 314
Tamarac, FL 33321

Phone

(954) 724-3440

Fax

(954) 724-3494

NPI assigned

Feb 27, 2012

Last updated

Nov 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Errol Earl Campbell, MDNPI 1427036995

Title

Medical Director

Phone

(954) 724-3440

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24672/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Errol Earl Campbell, M.D.

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1427036995
  Medicare reassignment NPD Authorized official
• Sergio Fernandez Acosta

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1174159719
  Medicare reassignment NPD
• Anel Monrose, ARNP

  • Nurse Practitioner
  • North Miami, FL
  • NPI 1548702574
  Medicare reassignment NPD
• Valentin Junior Andre, M.D

  • General Practice Physician
  • North Miami, FL
  • NPI 1245697218
  NPD
• Jean Herold Noel, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1962873406
  NPD

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1326312125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N. UNIVERSITY DRIVE",
            "address_2": "STE 314",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-724-3440",
            "fax_number": "954-724-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N. UNIVERSITY DRIVE",
            "address_2": "STE 314",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-724-3440",
            "fax_number": "954-724-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FLORIDA PREMIUM MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-724-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80593",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109864400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000758100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Dumornay
• Barry L Duncan II, PSY.D.
• Danielle Anna-Lisa Dunn
• Althea Duren
• Dynamic Therapeutic Health LLC
• Echoes of the Soul Counseling
• Stephen Edelstein, MD
• Edith Edwards
• Karen Edwards
• Nelly A Eginton

• General Practice Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.