NPIMap

Organization Active NPI

Doctors United Group Inc

  • Clinic/Center
  • Homestead, FL
National Provider Identifier
1629619994
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOCTORS UNITED GROUP INC
Practice address
974 Old Dixie Hwy Ste a
Homestead, FL 33030-4933
Phone
(866) 745-8049
Fax
(954) 530-5263
NPI assigned
Oct 8, 2019
Organization subpart
Yes
Parent organization
DOCTORS UNITED GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Augustine Carbon
Title
Executive Director
Phone
(305) 206-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

974 Old Dixie Hwy Ste a
Homestead, FL 33030-4933

Mailing address

3215 NW 10TH Ter Ste 209B
Fort Lauderdale, FL 33309-5934
Phone (954) 530-3586

Other names 1

  • DOCTORS UNITED GROUP, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctor United Group Inc16 organizations share this tax ID, including this one
Part of
Doctor United Group Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1629619994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NW 10TH TER STE 209B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095934",
            "telephone_number": "954-530-3586",
            "fax_number": "954-530-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 OLD DIXIE HWY STE A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304933",
            "telephone_number": "866-745-8049",
            "fax_number": "954-530-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS UNITED GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS UNITED GROUP INC",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "CARBON",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-206-6196"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS UNITED GROUP, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.