Organization Active NPI

Medaprime, Inc

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1427415264
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME40710 Issued in FL
Legal business name
MEDAPRIME, INC
Practice address
10199 Cleary Blvd
Suite 8
Plantation, FL 33324-1029
Phone
(954) 644-1430
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Frank C Hernandez
Title
PSTD
Phone
(954) 644-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME40710 FL Primary

Addresses

Primary practice location

10199 Cleary Blvd
Suite 8
Plantation, FL 33324-1029

Mailing address

10199 Cleary Blvd
Suite 8
Plantation, FL 33324-1029
Phone (954) 644-1430

National Provider Directory

National Provider Directory

Locations

10199 Cleary Blvd
Ste 8
Plantation, FL 33324
Phone (954) 644-1430

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1427415264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10199 CLEARY BLVD",
            "address_2": "SUITE 8",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241029",
            "telephone_number": "954-644-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10199 CLEARY BLVD",
            "address_2": "SUITE 8",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241029",
            "telephone_number": "954-644-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAPRIME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSTD",
        "authorized_official_telephone_number": "954-644-1430"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME40710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.