NPIMap

Organization Active NPI

Tenet Florida Physician Services II, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1417543109
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TENET FLORIDA PHYSICIAN SERVICES II, LLC
Practice address
3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone
(954) 567-1332
Fax
(561) 537-2721
NPI assigned
Dec 16, 2020
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo Tenet Physician Resources
Phone
(469) 893-2532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772

Mailing address

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127002274 FL DME Supplier - Multi-Specialty - Physician 1456507698 Practice locations: Fort Lauderdale, FL

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2003263Tenet Florida Physician Services II, LLC3000 Bayview Dr, Fort Lauderdale, FL 33306Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Tenet Florida Physician Services II LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1417543109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "561-537-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "561-537-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET FLORIDA PHYSICIAN SERVICES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TENET PHYSICIAN RESOURCES",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.