Organization Active NPI

Multi-Specialty Medical Consultants PLLC

  • Multi-Specialty Clinic/Center
  • Plantation, FL
National Provider Identifier
1346777943
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MULTI-SPECIALTY MEDICAL CONSULTANTS PLLC
Practice address
801 S University Dr
Plantation, FL 33324-3336
Phone
(754) 226-7576
NPI assigned
May 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Derrick A Davis, MPH, PANPI 1285771808
Title
Owner Manager/Physician Assistant
Phone
(754) 205-6873

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

801 S University Dr
Plantation, FL 33324-3336

Mailing address

801 S University Dr
Plantation, FL 33324-3336
Phone (754) 226-7576

National Provider Directory

National Provider Directory

Locations

1301 E Atlantic Blvd
Ste 1
Pompano Beach, FL 33060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1346777943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243336",
            "telephone_number": "754-226-7576",
            "fax_number": "754-205-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243336",
            "telephone_number": "754-226-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-SPECIALTY MEDICAL CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MANAGER/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "754-205-6873",
        "authorized_official_credential": "MPH, PA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.