South Florida Family Medical Center, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME122433 Issued in FL

Legal business name

SOUTH FLORIDA FAMILY MEDICAL CENTER, LLC.

Practice address

7369 Sheridan St Ste 100
Hollywood, FL 33024

Phone

(754) 837-8870

Fax

(754) 888-9688

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Jorge Garcia, DIRECTOR

Title

Credentialing Director

Phone

(305) 606-0337

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1366896904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242776",
            "telephone_number": "754-837-8870",
            "fax_number": "754-888-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "754-837-8870",
            "fax_number": "754-888-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 NW 179th Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292818",
            "country_code": "US",
            "telephone_number": "954-442-8888",
            "fax_number": "954-442-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA FAMILY MEDICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-606-0337",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME122433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016028700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• South Florida Kidney Care LLC (Comprehensive Kidney Care of South Florida)
• South Florida Medical Assoc PA
• South Florida Medical Clinics Association Inc

• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.