Family Medicine of Margate PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0063343 Issued in FL

Legal business name

FAMILY MEDICINE OF MARGATE PA

Practice address

6000 West Atlantic Blvd
Margate, FL 33063

Phone

(954) 973-6111

Fax

(954) 973-0961

NPI assigned

May 4, 2007

Last updated

Nov 12, 2013By 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

Mohamed H Gajraj, M.D.

Title

President

Phone

(954) 973-6111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1336351915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 WEST ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-973-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WEST ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-973-6111",
            "fax_number": "954-973-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF MARGATE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "GAJRAJ",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-973-6111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0063343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Margate, FL
• Providers in Margate, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.