Organization Active NPI

Jfdoc P.L.

  • Primary Care Clinic/Center
  • Davie, FL
National Provider Identifier
1689807638
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME86693 Issued in FL
Legal business name
JFDOC P.L.
Practice address
12555 Orange Dr
Suite 257
Davie, FL 33330-4304
Phone
(954) 862-1778
Fax
(954) 862-1779
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Farzanna Sherene Haffizulla, M.D.
Title
Physician
Phone
(954) 862-1778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME86693 FL Primary

Addresses

Primary practice location

12555 Orange Dr
Suite 257
Davie, FL 33330-4304

Mailing address

12555 Orange Dr
Suite 257
Davie, FL 33330-4304
Phone (954) 862-1778

Other identifiers 1

IdentifierTypeStateIssuer
1275605321OtherFLNPI

National Provider Directory

National Provider Directory

Locations

12555 Orange Dr
#257
Davie, FL 33330
Phone (954) 862-1778

12555 Orange Dr
Ste 257
Davie, FL 33330
Phone (954) 862-1778

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1689807638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "address_2": "SUITE 257",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1778",
            "fax_number": "954-862-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "address_2": "SUITE 257",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1778",
            "fax_number": "954-862-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFDOC P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "HAFFIZULLA",
        "authorized_official_first_name": "FARZANNA",
        "authorized_official_middle_name": "SHERENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-862-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME86693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275605321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.