NPIMap

Organization Active NPI

South Florida Medical Centers Inc

Doing business as Amicus Medical Center

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1457480691
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH FLORIDA MEDICAL CENTERS INC
Doing business as
Amicus Medical Center
Practice address
14201 W. Sunriseblvd
Unit 207
Sunrise, FL 33323
Phone
(954) 505-5000
Fax
(954) 756-4442
NPI assigned
Mar 5, 2007
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AMICUS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Mr. David Rodriguez
Title
President
Phone
(954) 505-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Primary Care Clinic/Center 261QP2300X HCC9561 FL
Primary Care Clinic/Center 261QP2300X HC9560 FL

Addresses

Primary practice location

14201 W. Sunriseblvd
Unit 207
Sunrise, FL 33323

Mailing address

14201 W Sunrise Blvd
Unit 207
Sunrise, FL 33323-3207
Phone (954) 505-5000

Other identifiers 4

IdentifierTypeStateIssuer
260924002MedicaidFL
K1476AOtherFLMEDICARE
K1476OtherFLMEDICARE
260924001MedicaidFL

Other names 1

  • Amicus Medical Center Doing business as

National Provider Directory

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

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1457480691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD",
            "address_2": "UNIT 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-505-5000",
            "fax_number": "754-200-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W. SUNRISEBLVD",
            "address_2": "UNIT 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-505-5000",
            "fax_number": "954-756-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA MEDICAL CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMICUS MEDICAL CENTER",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-505-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC9561",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HC9560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260924002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K1476A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K1476",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260924001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amicus Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.