Organization Active NPI

Mother Daughter Primary Care LLC

  • Internal Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1447715305
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOTHER DAUGHTER PRIMARY CARE LLC
Practice address
10 Fairway Dr Ste 305
Deerfield Beach, FL 33441-1802
Phone
(954) 744-0020
Fax
(754) 318-6211
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Ms. Angella John
Title
Aprn, FNP-BC
Phone
(954) 744-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10 Fairway Dr Ste 305
Deerfield Beach, FL 33441-1802

Mailing address

10 Fairway Dr Ste 305
Deerfield Beach, FL 33441-1802
Phone (954) 744-0020

National Provider Directory

National Provider Directory

Locations

10 Fairway Dr
Ste 305
Deerfield Beach, FL 33441
Phone (954) 744-0020

4141 NW 5th St
Ste 102
Plantation, FL 33317
Phone (954) 744-0020

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1447715305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR STE 305",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411802",
            "telephone_number": "954-744-0020",
            "fax_number": "754-318-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR STE 305",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411802",
            "telephone_number": "954-744-0020",
            "fax_number": "754-318-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER DAUGHTER PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "APRN, FNP-BC",
        "authorized_official_telephone_number": "954-744-0020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.