Organization Active NPI

Stealth Medical Group PA

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1679487805
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEALTH MEDICAL GROUP PA
Practice address
6500 N Andrews Ave Apt 531
Fort Lauderdale, FL 33309-2486
Phone
(954) 803-1996
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Phill Whitman
Title
Coo
Phone
(954) 803-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6500 N Andrews Ave Apt 531
Fort Lauderdale, FL 33309-2486

Mailing address

6500 N Andrews Ave Apt 531
Fort Lauderdale, FL 33309-2486
Phone (954) 803-1996

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1679487805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N ANDREWS AVE APT 531",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092486",
            "telephone_number": "954-803-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N ANDREWS AVE APT 531",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092486",
            "telephone_number": "954-803-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "PHILL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-803-1996"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.