NPIMap

Organization Active NPI

Rainforest Family Medical

  • Health Service Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1396094090
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ARNP 787612 Issued in FL
Legal business name
RAINFOREST FAMILY MEDICAL
Doing business as
Rainforest Medical & Education Institute
Practice address
4699 N State Road 7
Ste B2
Lauderdale Lakes, FL 33319-5879
Phone
(954) 717-8778
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Ms. Sharon Costanzo, ARNP
Title
President/Owner
Phone
(954) 717-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ARNP 787612 FL Primary

Addresses

Primary practice location

4699 N State Road 7
Ste B2
Lauderdale Lakes, FL 33319-5879

Mailing address

4699 N State Road 7
Ste B2
Lauderdale Lakes, FL 33319-5879
Phone (954) 717-8778

Other names 1

  • Rainforest Medical & Education Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1396094090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "STE B2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-717-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "STE B2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-717-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINFOREST FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-717-8778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP 787612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainforest Medical & Education Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.