Active NPI
Florida Primary Physicians
- Family Medicine Physician
- Plantation, FL
National Provider Identifier
1669412458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FLORIDA PRIMARY PHYSICIANS
- Practice address
- 4101 NW 4TH St
Suite 104
Plantation, FL 33317-2850 - Phone
- (954) 587-3805
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Duncan
- Title
- VP
- Phone
- (561) 548-1089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4101 NW 4TH St
Suite 104
Plantation, FL 33317-2850
Mailing address
4101 NW 4TH St
Suite 104
Plantation, FL 33317-2850
Phone (954) 587-3805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24055 | Other | FL | BLUE CROSS AND BLUE SHIEL |
Other names 1
- Florida Primary Care Physicians
National Provider Directory
National Provider DirectoryLocations
4101 NW 4th St
Ste 104
Plantation, FL 33317
Phone (954) 587-3805
4306 W Broward Blvd
Ste 600
Plantation, FL 33317
Phone (954) 587-3805
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Coral Springs, FL
- NPI 1578554408
-
- Internal Medicine Physician
- Plantation, FL
- NPI 1912991498
-
- Hospitalist Physician
- Delray Beach, FL
- NPI 1902906266
-
- Adult Medicine Physician
- Pooler, GA
- NPI 1316057821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1669412458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 NW 4TH ST",
"address_2": "SUITE 104",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172850",
"telephone_number": "954-587-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NW 4TH ST",
"address_2": "SUITE 104",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172850",
"telephone_number": "954-587-3805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA PRIMARY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "561-548-1089"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "24055",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Primary Care Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
- Florida Institute of Health LTD LLLP
- Florida Institute of Heatl, LTD, LLLP
- Florida Movement Therapy Center-Plantation, LLC
- Florida Orthocare Network, LLC
- Florida Pediatric Critical Care
- Florida Prime Health
- Florida Rehabilitation Services
- Florida Relationship Institute, LLC
- Florida Sleep & Neuro Diagnostic Services Inc
- Florida United Radiology, LC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.