NPIMap

Organization Active NPI

Heart 2 Heart Family Practice

  • General Practice Physician
  • Melrose, FL
National Provider Identifier
1386313674
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEART 2 HEART FAMILY PRACTICE
Practice address
1326 State Road 100
Melrose, FL 32666-3701
Phone
(386) 659-2104
Fax
(386) 659-2196
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dollicia Michele GreenNPI 1891149324
Title
President
Phone
(386) 659-2104

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1326 State Road 100
Melrose, FL 32666-3701

Mailing address

1326 State Road 100
Melrose, FL 32666-3701
Phone (386) 659-2104

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL yourhealthfile.com

National Provider Directory

National Provider Directory
Tax ID family
Heart 2 Heart Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1386313674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326663701",
            "telephone_number": "386-659-2104",
            "fax_number": "386-659-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326663701",
            "telephone_number": "386-659-2104",
            "fax_number": "386-659-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART 2 HEART FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DOLLICIA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-659-2104"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yourhealthfile.com",
            "affiliation": "N",
            "address_1": "1326 State Road 100",
            "city": "Melrose",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326663701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melrose, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.