NPIMap

Organization Active NPI

South Florida Medical Centers Inc

  • Family Medicine Physician
  • Lake Park, FL
National Provider Identifier
1447469739
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH FLORIDA MEDICAL CENTERS INC
Practice address
406 US Highway One
Lake Park, FL 33403-3549
Phone
(561) 881-3506
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Jimi Adetula
Title
President
Phone
(954) 472-2999

Specialties & licenses 1

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

Addresses

Primary practice location

406 US Highway One
Lake Park, FL 33403-3549

Mailing address

406 US Highway One
Lake Park, FL 33403-3549
Phone (561) 881-3506

Other names 1

  • SFMC GROUP OF LAKE PARK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amicus Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

406 US Highway 1
Lake Park, FL 33403
Phone (561) 842-5900

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1447469739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 US HIGHWAY ONE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033549",
            "telephone_number": "561-881-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 US HIGHWAY ONE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033549",
            "telephone_number": "561-881-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ADETULA",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-472-2999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SFMC GROUP OF LAKE PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.