Active NPI
Med Management of SFL LLC
- Family Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1386411791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- 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
- Nicholas David Marino
- Title
- Ceo
- Phone
- (561) 291-6833
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Michael C McMillin, MD
- MD Now Medical Centers Inc (MD Now Urent Care)
- MD Now Medical Centers Inc (MD Now Urgent Care)
- MD Now Medical Centers, Inc (MD Now Urgent Care)
- Med Hub Medical Inc
- Medexpress Urgent Care of Boynton Beach, LLC (MedExpress Urgent Care - Palm Beach Gardens)
- Medexpress Urgent Care of Palm Beach Gardens, LLC
- Gilbert Figueras Medida, PA-C
- Lizaida Medina Candelaria, M.D.
- Keila Medina-Francois
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.