Organization Active NPI

Family Medicine Specialists, PLLC

  • Family Medicine Physician
  • University Park, FL
National Provider Identifier
1376508739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE SPECIALISTS, PLLC
Practice address
7978 Cooper Creek Blvd
Suite 210
University Park, FL 34201-2141
Phone
(941) 359-9255
Fax
(941) 351-1504
NPI assigned
Apr 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Bentze, D.O.NPI 1407840622
Title
Owner
Phone
(941) 359-9255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7978 Cooper Creek Blvd
Suite 210
University Park, FL 34201-2141

Mailing address

7978 Cooper Creek Blvd
Suite 210
University Park, FL 34201-2141
Phone (941) 359-9255

National Provider Directory

National Provider Directory

Locations

7978 Cooper Creek Blvd
Ste 210
University Park, FL 34201
Phone (941) 359-9255

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376508739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7978 COOPER CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012141",
            "telephone_number": "941-359-9255",
            "fax_number": "941-351-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7978 COOPER CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012141",
            "telephone_number": "941-359-9255",
            "fax_number": "941-351-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTZE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-359-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.