NPIMap

Organization Active NPI

Medical Services Corp of Florida

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1598423253
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL SERVICES CORP OF FLORIDA
Practice address
4000 N Hills Dr Apt 36
Hollywood, FL 33021-2444
Phone
(239) 366-1948
Fax
(315) 612-9793
NPI assigned
Nov 30, 2021
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Carolina Henriquez
Title
Director of Operations
Phone
(239) 366-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4000 N Hills Dr Apt 36
Hollywood, FL 33021-2444

Mailing address

20980 Cipres Way
Boca Raton, FL 33433-1604
Phone (239) 366-1948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220131000079 FL Part B Supplier - Clinic/Group Practice 3971996778 Receives reassigned benefits from 26 practitioners
Practice locations: Wilton Manors, FL; West Palm Beach, FL; Tarpon Springs, FL; St Petersburg, FL; Sarasota, FL; Saint Petersburg, FL; Gulf Breeze, FL; Port Charlotte, FL…

National Provider Directory

National Provider Directory

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 483-9282

1301 16th St N
St Petersburg, FL 33705
Phone (727) 898-5119

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1598423253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20980 CIPRES WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331604",
            "telephone_number": "239-366-1948",
            "fax_number": "315-612-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N HILLS DR APT 36",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212444",
            "telephone_number": "239-366-1948",
            "fax_number": "315-612-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES CORP OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "239-366-1948"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.