Organization Active NPI

Patient First Medical Center, Inc.

  • Clinic/Center
  • Hallandale Beach, FL
National Provider Identifier
1679712517
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PATIENT FIRST MEDICAL CENTER, INC.
Practice address
1110 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4432
Phone
(954) 862-8700
Fax
(954) 862-8707
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Vladimir Repnin
Title
President
Phone
(954) 862-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1110 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4432

Mailing address

1110 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4432
Phone (954) 862-8700

National Provider Directory

National Provider Directory

Locations

1110 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-7575

1100 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 456-6945

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1679712517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094432",
            "telephone_number": "954-862-8700",
            "fax_number": "954-862-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094432",
            "telephone_number": "954-862-8700",
            "fax_number": "954-862-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "REPNIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-862-8700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.