Power MD Mso LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

POWER MD MSO LLC

Practice address

4000 N 37TH Ave
Hollywood, FL 33021-1927

Phone

(954) 918-4533

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Osvaldo S Martinez, ADMINISTRATOR

Title

Ceo

Phone

(954) 918-4533

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1548728397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N 37TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211927",
            "telephone_number": "954-918-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N 37TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211927",
            "telephone_number": "954-918-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER MD MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-918-4533",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "powermdmso@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "powermdmso@aol.com",
            "address_1": "4000 N 37th Ave",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330211927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Potter, LMHC
• Kristine Anne Poursine-Hill, LMHC, NCC,CAP
• Eric Ross Powell, PT
• Felciai Shanna-Kaye Powell
• Lee Anne Brighton Powell, NP
• Kristen E Power, OD
• Jocelynn Pradas-Mesa
• Kayla Pradines
• Erica Monique Prado del Rey, MSN, APRN, NNC-BC
• Maryori Prado

• Exclusive Provider Organization in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.