Organization Active NPI

Med Management of SFL LLC

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1386411791
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED MANAGEMENT OF SFL LLC
Practice address
11000 Prosperity Farms Rd Ste 101B
Palm Beach Gardens, FL 33410-3462
Phone
(561) 291-6833
NPI assigned
Dec 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Nicholas David Marino
Title
Ceo
Phone
(561) 291-6833

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Family Medicine Physician 207Q00000X NU Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X NU
Adult Medicine Physician 207QA0505X NU

Addresses

Primary practice location

11000 Prosperity Farms Rd Ste 101B
Palm Beach Gardens, FL 33410-3462

Mailing address

11000 Prosperity Farms Rd Ste 101
Palm Beach Gardens, FL 33410-3470
Phone (561) 291-6833

National Provider Directory

National Provider Directory

Locations

11000 Prosperity Farms Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 694-8877

11000 Prosperity Farms Rd
Ste 101B
Palm Beach Gardens, FL 33410
Phone (561) 291-6833

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1386411791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103470",
            "telephone_number": "561-291-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD STE 101B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-291-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MANAGEMENT OF SFL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-291-6833"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.