Plantation Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS0044831 Issued in FL

Legal business name

PLANTATION MEDICAL CLINIC

Practice address

100 NW 82ND Ave
Suite 206
Plantation, FL 33324-7809

Phone

(954) 424-7504

Fax

(954) 424-7603

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Peter Simek, MDNPI 1568443448

Title

Doctor

Phone

(954) 424-7504

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter P Simek, MD

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1568443448
  NPD (past) Authorized official
• Susanne Julia Danis, APRN

  • Adult Health Nurse Practitioner
  • Sunrise, FL
  • NPI 1457576597
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1457500720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247809",
            "telephone_number": "954-424-7504",
            "fax_number": "954-424-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247809",
            "telephone_number": "954-424-7504",
            "fax_number": "954-424-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SIMEK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-424-7504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0044831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantation Family Medical Associates,PA
• Plantation Family Medical Center
• Plantation General Hospital L P
• Plantation Health and Wellness, LLC
• Plantation Medical and Surgical PA
• Plantation Medical Clinic PA
• Plantation Nursing & Rehabilitation Center, LLC
• Plantation Open MRI LLC
• Plantation Oral Surgery, PLLC
• Plantation Ortho, LLC

• Internal Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.