Active NPI
David Mishkin D.O. P.a.
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1346412970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS8314
- Legal business name
- DAVID MISHKIN D.O. P.A.
- Practice address
- 2021 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308 - Phone
- (954) 202-7899
- Fax
- (954) 202-7877
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David B Mishkin, D.O.
- Title
- Owner/President
- Phone
- (954) 202-7899
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS8314 | FL | Primary |
Addresses
Primary practice location
2021 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308
Mailing address
2021 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308
Phone (954) 202-7899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
550 SW 3rd St
Ste 101B
Pompano Beach, FL 33060
Phone (954) 202-7899
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1700896206
-
- Adult Health Nurse Practitioner
- Hallandale Beach, FL
- NPI 1831597624
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1770172231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1346412970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E COMMERCIAL BLVD",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-202-7899",
"fax_number": "954-202-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E COMMERCIAL BLVD",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-202-7899",
"fax_number": "954-202-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MISHKIN D.O. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "MISHKIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "954-202-7899",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.