Organization Active NPI

Gaynair Family Medicine LLC

  • Health Service Clinic/Center
  • Lauderhill, FL
National Provider Identifier
1508032681
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME94856 Issued in FL
Legal business name
GAYNAIR FAMILY MEDICINE LLC
Practice address
3330 Spanish Moss Ter
109
Lauderhill, FL 33319-5058
Phone
(216) 496-5938
Fax
(954) 530-3138
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Karen Aneita Gaynair-Surry, MD, MSC
Title
Physician
Phone
(216) 496-5938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME94856 FL Primary

Addresses

Primary practice location

3330 Spanish Moss Ter
109
Lauderhill, FL 33319-5058

Mailing address

3330 Spanish Moss Ter
109
Lauderhill, FL 33319-5058
Phone (216) 496-5938

Other identifiers 2

IdentifierTypeStateIssuer
006618500MedicaidFL
281403000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1508032681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SPANISH MOSS TER",
            "address_2": "109",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195058",
            "telephone_number": "216-496-5938",
            "fax_number": "954-530-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SPANISH MOSS TER",
            "address_2": "109",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195058",
            "telephone_number": "216-496-5938",
            "fax_number": "954-530-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYNAIR FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "GAYNAIR-SURRY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANEITA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-496-5938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME94856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006618500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281403000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.