Medical Practitioner Healthsystems, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MEDICAL PRACTITIONER HEALTHSYSTEMS, INC.

Practice address

4217 SW 64TH Ave
Suite 1
Davie, FL 33314-3446

Phone

(954) 432-1812

Fax

(954) 430-3261

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Mason P Hershorin, ARNP

Title

President

Phone

(954) 432-1812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1619318474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SW 99TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251065",
            "telephone_number": "954-432-1812",
            "fax_number": "954-430-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SW 64TH AVE",
            "address_2": "SUITE 1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143446",
            "telephone_number": "954-432-1812",
            "fax_number": "954-430-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRACTITIONER HEALTHSYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "HERSHORIN",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-432-1812",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Davie, FL
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• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.