Teamhealth

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME108237 Issued in FL

Legal business name

TEAMHEALTH

Practice address

17431 NW 7TH St
Pembroke Pines, FL 33029-3103

Phone

(863) 242-1353

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roynel Gonzalez Carrillo, M.D.

Title

Emergency Medicine Physician

Phone

(863) 242-1353

Specialties & licenses 1

Addresses

Tax ID family

Spectrum Healthcare Resources3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Spectrum Healthcare Resources

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Aiea, HI
  • NPI 1275518805
  NPD tax ID
• Team Health, Inc

  • Rural Acute Care Hospital
  • Centralia, WA
  • NPI 1073060380
  NPD tax ID

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1588068100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293103",
            "telephone_number": "863-242-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293103",
            "telephone_number": "863-242-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ CARRILLO",
        "authorized_official_first_name": "ROYNEL",
        "authorized_official_title_or_position": "EMERGENCY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "863-242-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME108237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Taylor
• Jacob Thomas Taylor, PT, DPT
• Nathan Andrew Taylor, AP
• Valerie Taylor
• Teach 2 Speech LLC
• Jasmine Teba
• Claudia Teijeiro
• Anide Telfort
• Lydia S. Tella
• Patricia Gonzalez Templeton, D.D.S

• Emergency Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.