Organization Active NPI

Hi Doc Inc

Doing business as Hi Doc Medical and Wellness Center

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1568190262
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HI DOC INC
Doing business as
Hi Doc Medical and Wellness Center
Hi Doc Medical Center
Practice address
3040 E Commercial Blvd
Fort Lauderdale, FL 33308-4312
Phone
(305) 890-8721
NPI assigned
Aug 10, 2022
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Drucilla Graham
Title
President
Phone
(305) 890-8721

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3040 E Commercial Blvd
Fort Lauderdale, FL 33308-4312

Mailing address

3040 E Commercial Blvd
Fort Lauderdale, FL 33308-4312
Phone (305) 890-8721

Other names 2

  • HI DOC MEDICAL AND WELLNESS CENTER Doing business as
  • Hi Doc Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

3040 E Commercial Blvd
Fort Lauderdale, FL 33308
Phone (305) 890-8721

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1568190262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084312",
            "telephone_number": "305-890-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084312",
            "telephone_number": "305-890-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI DOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-02-01",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DRUCILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-890-8721"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HI DOC MEDICAL AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hi Doc Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.