Superior Primary Care Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SUPERIOR PRIMARY CARE SERVICES LLC

Practice address

10284 NW 47TH St
Sunrise, FL 33351-7967

Phone

(954) 681-2881

Fax

(954) 575-0000

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Herbert Goldwire, ARNP

Title

Member-MGRM

Phone

(954) 681-2881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1649570177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7598 PINEWALK DR S",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638122",
            "telephone_number": "954-681-2881",
            "fax_number": "954-575-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "954-681-2881",
            "fax_number": "954-575-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PRIMARY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GOLDWIRE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "MEMBER-MGRM",
        "authorized_official_telephone_number": "954-681-2881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.