NPIMap

Organization Active NPI

Metcare of Plantation

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1548651771
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
METCARE OF PLANTATION
Practice address
301 NW 84TH Ave
Suite 101
Plantation, FL 33324-1807
Phone
(954) 581-1900
Fax
(954) 321-2675
NPI assigned
Feb 10, 2015
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
METROPOLITAN HEALTH NETWORKS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Jessica Marie Bonetti
Title
Associate Director
Phone
(305) 500-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

301 NW 84TH Ave
Suite 101
Plantation, FL 33324-1807

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
CX415AOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Metcare of Boca Raton29 organizations share this tax ID, including this one
Part of
Metropolitan Health Networks LT Blue Zone

Other organizations with this tax ID 28

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

View all 28

Locations

301 NW 84th Ave
Ste 101
Plantation, FL 33324
Phone (954) 581-1900

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1548651771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE",
            "address_2": "SUITE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "954-581-1900",
            "fax_number": "954-321-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE OF PLANTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HEALTH NETWORKS, INC",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BONETTI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CX415A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.