Focus Clinic, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME87905 Issued in FL

Legal business name

FOCUS CLINIC, INC.

Doing business as

FocusClinic-m2

Practice address

12712 N Winners Cir
Davie, FL 33330-4322

Phone

(305) 776-0060

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Keller, M.D.

Title

President

Phone

(305) 776-0060

Specialties & licenses 2

Addresses

Other names 1

• FocusClinic-m2 Doing business as

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1427407493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12712 N WINNERS CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304322",
            "telephone_number": "305-776-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12712 N WINNERS CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304322",
            "telephone_number": "305-776-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-776-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME87905",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FocusClinic-m2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Florez
• Florida Family Practice
• Florida Spine and Sport Inc
• Florida Woman Care ,LLC
• Focus Brain Therapy
• Jennifer Fogel-Wartel, LMT
• Katherine Valeska Fondeur
• Miriam Fong
• Lianni Marie Fonseca
• Angie Fontaine

• Psychiatry Physician in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.