Organization Active NPI

Mobile Medical Care of the Palm Beaches PA

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1366082620
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOBILE MEDICAL CARE OF THE PALM BEACHES PA
Practice address
1600 S Federal Hwy Ste 420
Pompano Beach, FL 33062-7531
Phone
(561) 410-0242
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Lawrence SmithNPI 1215906342
Title
D.O. Owner
Phone
(561) 410-0242

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
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1600 S Federal Hwy Ste 420
Pompano Beach, FL 33062-7531

Mailing address

1600 S Federal Hwy Ste 420
Pompano Beach, FL 33062-7531
Phone (561) 410-0242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200220002561 FL Part B Supplier - Clinic/Group Practice 5799112322 Receives reassigned benefits from 3 practitioners
Practice locations: Fernandina Beach, FL

National Provider Directory

National Provider Directory

Locations

1600 S Federal Hwy
Ste 420
Pompano Beach, FL 33062
Phone (561) 410-0242

Practitioners & affiliated clinicians

Practitioners 4

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": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1366082620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 420",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627531",
            "telephone_number": "561-410-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 420",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627531",
            "telephone_number": "561-410-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CARE OF THE PALM BEACHES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "D.O. OWNER",
        "authorized_official_telephone_number": "561-410-0242"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.