NPIMap

Organization Active NPI

Family Medical Clinic, LLC

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1679913859
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY MEDICAL CLINIC, LLC
Practice address
8180 NW 36TH St
Ste 102
Doral, FL 33166-6645
Phone
(786) 342-5620
NPI assigned
Jul 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Edgar Escobar, MD
Title
MD
Phone
(786) 342-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8180 NW 36TH St
Ste 102
Doral, FL 33166-6645

Mailing address

8180 NW 36TH St
Ste 102
Doral, FL 33166-6645
Phone (786) 342-5620

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8180 NW 36th St
Ste 102
Doral, FL 33166
Phone (786) 342-5620

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1679913859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "786-342-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "786-342-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-342-5620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.