Promed Alliance Aco1 Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED ALLIANCE ACO1 INC

Practice address

778 S Military TRL
Deerfield Beach, FL 33442-3025

Phone

(954) 570-7023

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Willis Hale

Title

Ceo

Phone

(954) 570-7023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1629326269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423025",
            "telephone_number": "954-570-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED ALLIANCE ACO1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-570-7023"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.