Physician Offices of Florida City

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9611161

Legal business name

PHYSICIAN OFFICES OF FLORIDA CITY

Practice address

646 West Palm Drive
Florida City, FL 33034

Phone

(305) 242-0883

Fax

(305) 242-9523

NPI assigned

May 16, 2007

Organization subpart

Yes

Parent organization

PHYSICIAN OFFICES OF FLORIDA CITYAs reported in NPPES

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

Authorized official

Name

Mr. Ira Wellisch

Title

Vice President

Phone

(305) 242-0883

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Phys Office of Fla City

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Physician Offices of Florida City

  • Pediatric Adolescent Medicine Physician
  • Florida City, FL
  • NPI 1578778627
  NPPES parent name

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1487860136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 WEST PALM DRIVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-242-0883",
            "fax_number": "305-242-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 WEST PALM DRIVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-242-0883",
            "fax_number": "305-242-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN OFFICES OF FLORIDA CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN OFFICES OF FLORIDA CITY",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WELLISCH",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-242-0883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "9611161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375969500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Alternative Treatment Care Housing and Evaluation Services
• Pediatric Alternative Treatment Care Housing and Evaluation Services I
• Samantha Maria Pelaez Saif
• Jessica Perez Alvarez
• Midiala Perez
• Physician Offices of Florida City
• Physician Offices of Florida, Inc.
• Yaomara Pina Cespedes
• Rafael Pineiro, APRN
• Lourdes Portuondo Palomino

• Family Medicine Physician in Florida City, FL
• Providers in Florida City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.