Organization Active NPI

Florida Primary Care Partners LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1548866858
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA PRIMARY CARE PARTNERS LLC
Practice address
8080 Pasadena Blvd
Pembroke Pines, FL 33024-3537
Phone
(954) 951-0990
Fax
(954) 900-9221
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Mian Hasan, MD
Title
Ceo
Phone
(954) 951-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8080 Pasadena Blvd
Pembroke Pines, FL 33024-3537

Mailing address

8080 Pasadena Blvd
Pembroke Pines, FL 33024-3537
Phone (954) 951-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907003756 FL Part B Supplier - Clinic/Group Practice 7618331737 Receives reassigned benefits from 3 practitioners
Practice locations: Pembroke Pines, FL; Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

8080 Pasadena Blvd
Pembroke Pines, FL 33024
Phone (954) 951-0990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1548866858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 PASADENA BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243537",
            "telephone_number": "954-951-0990",
            "fax_number": "954-900-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 PASADENA BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243537",
            "telephone_number": "954-951-0990",
            "fax_number": "954-900-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PRIMARY CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-951-0990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.