Individual provider Active NPI

Norma Cama, OWNER

  • General Practice Physician
  • Davie, FL
National Provider Identifier
1609427319
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC11949 Issued in FL
Practice address
4179 Davie Rd
Davie, FL 33314-3448
Phone
(954) 870-5089
Fax
(754) 312-2869
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X HCC11949 FL Primary

Addresses

Primary practice location

4179 Davie Rd
Davie, FL 33314-3448

Mailing address

4179 Davie Rd
Davie, FL 33314-3448
Phone (954) 870-5089

Other practice location 1

4179 Davie Rd
Davie, FL 33314-3448
Phone (954) 870-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HCC11949FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plus Gold Medical Services Inc General Practice CurrentSince Oct 13, 2019 Accepting new patients

Locations

4179 Davie Rd
Davie, FL 33314
Phone (954) 870-5089

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1609427319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 DAVIE RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143448",
            "telephone_number": "954-870-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 DAVIE RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143448",
            "telephone_number": "954-870-5089",
            "fax_number": "754-312-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4179 Davie Rd",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333143448",
            "country_code": "US",
            "telephone_number": "954-870-5089",
            "fax_number": "754-312-2869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMA",
        "first_name": "NORMA",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC11949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.