Organization Active NPI

PMC West Oakland Park LLC

  • Primary Care Clinic/Center
  • Sunrise, FL
National Provider Identifier
1679753206
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PMC WEST OAKLAND PARK LLC
Practice address
8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone
(954) 741-5000
Fax
(954) 741-1177
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Spencer Angel
Title
Managing Member
Phone
(305) 255-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307

Mailing address

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 741-5000

National Provider Directory

National Provider Directory

Locations

8397 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 741-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1679753206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8397 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-741-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8397 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-741-5000",
            "fax_number": "954-741-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC WEST OAKLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-255-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.