Medical Providers of South Florida, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICAL PROVIDERS OF SOUTH FLORIDA, INC.

Practice address

12401 Orange Dr
Suite 132
Davie, FL 33330-4341

Phone

(954) 862-1762

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Leona Barnes

Title

Chief Executive Officer

Phone

(954) 862-1762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1336471457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 ORANGE DR",
            "address_2": "SUITE 132",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304341",
            "telephone_number": "954-862-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ORANGE DR",
            "address_2": "SUITE 132",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304341",
            "telephone_number": "954-862-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROVIDERS OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LEONA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-862-1762",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Davie, FL
• Providers in Davie, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.