Organization Active NPI

Health Real LLC

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1386991966
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTH REAL LLC
Practice address
2800 E Commercial Blvd
Suite 210
Ft Lauderdale, FL 33308-4229
Phone
(248) 404-7535
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Tawfiq Kanj-Ahmed, MD
Title
Employee
Phone
(248) 404-7535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2800 E Commercial Blvd
Suite 210
Ft Lauderdale, FL 33308-4229

Mailing address

PO Box 480730
Fort Lauderdale, FL 33348-0730
Phone (248) 404-7535

National Provider Directory

National Provider Directory

Locations

2800 E Commercial Blvd
Ste 210
Ft Lauderdale, FL 33308
Phone (954) 541-2961

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1386991966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480730",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333480730",
            "telephone_number": "248-404-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD",
            "address_2": "SUITE 210",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084229",
            "telephone_number": "248-404-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH REAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "KANJ-AHMED",
        "authorized_official_first_name": "TAWFIQ",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "248-404-7535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.