Organization Active NPI

Florida Institute of Health LTD LLLP

  • Family Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1629006119
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA INSTITUTE OF HEALTH LTD LLLP
Practice address
2630 N Andrews Avenue
Wilton Manors, FL 33305
Phone
(954) 564-8535
Fax
(954) 564-8609
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Ms. Ava Zaken
Title
Administrator
Phone
(954) 484-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2630 N Andrews Avenue
Wilton Manors, FL 33305

Mailing address

4850 W Oakland Park Blvd
Suite 205
Lauderdale Lakes, FL 33313-7260
Phone (954) 484-7030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1629006119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 205",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-484-7030",
            "fax_number": "954-484-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 N ANDREWS AVENUE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-564-8535",
            "fax_number": "954-564-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF HEALTH LTD LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "ZAKEN",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-484-7030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.