Medflorida Specialists, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MEDFLORIDA SPECIALISTS, LLC

Practice address

3889 Military TRL Ste 101
Jupiter, FL 33458-2923

Phone

(888) 487-0373

Fax

(561) 710-5106

NPI assigned

Apr 5, 2016

Last updated

Nov 5, 2024By 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

Mazin Shikara, MDNPI 1316967912

Title

President

Phone

(561) 406-6080

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Medflorida Specialists LLC2 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.

• Medflorida Specialists, LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1265105894
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medflorida Specialists, LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1265105894
  NPPES parent name

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.

• Freddy Avni, M.D.

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1972706729
  Medicare reassignment Care Compare group NPD
• Manuel Salvador Portillo Barrera, APRN

  • Family Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1386245652
  Medicare reassignment Care Compare group NPD
• Mazin M Shikara, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1316967912
  Medicare reassignment NPD Authorized official
• Sonia Micaela Gibson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Deerfield Beach, FL
  • NPI 1316190507
  Medicare reassignment NPD
• Joseph Gutman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Plantation, FL
  • NPI 1780633875
  Medicare reassignment NPD

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1346603412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 MILITARY TRL STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582923",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SW Prima Vista Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 S State Road 7 Ste 420",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334149327",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3887 S Jog Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334671590",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 W Hillsboro Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421423",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 N University Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212100",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7229 W Oakland Park Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333131004",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Medical Center Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073240",
            "country_code": "US",
            "telephone_number": "888-487-0373",
            "fax_number": "561-710-5106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDFLORIDA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-406-6080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin McMurtray, D.C.
• Brent McQuilkin
• Stacy McWhinnie, LCSW
• MD Now Medical Centers (MD Now Urgent Care)
• Medflorida Hospitalists LLC
• Medflorida, LLC
• Medi-Weightloss Clinic of Jupiter
• Medical & Diabetic Supplies, Inc.
• Medical Consultants of Florida LLC (MedFlorida Medical Center)
• Medical Doctors Office LLC

• Rheumatology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.