Active NPI
Mobile Medical Care of the Palm Beaches PA
- Family Medicine Physician
- Pompano Beach, FL
National Provider Identifier
1366082620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Smith
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Emergency Medicine Physician
- West Palm Beach, FL
- NPI 1215906342
-
- Nurse Practitioner
- Jupiter, FL
- NPI 1891464673
-
- Family Nurse Practitioner
- Wildlight, FL
- NPI 1710324330
-
- Health Educator
- Greenacres, FL
- NPI 1407678998
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.