NPIMap

Organization Active NPI

Tenet Florida Physician Services, LLC,

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1689908808
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TENET FLORIDA PHYSICIAN SERVICES, LLC,
Practice address
2817 E Oakland Park Blvd
Ste 101
Ft Lauderdale, FL 33306-1889
Phone
(954) 566-3433
NPI assigned
Sep 21, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mr. J. Scott Richardson
Title
SVP, Ops Finance & Pmi, Tenet
Phone
(469) 893-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2817 E Oakland Park Blvd
Ste 101
Ft Lauderdale, FL 33306-1889

Mailing address

5810 Coral Ridge Dr
Ste 300
Coral Springs, FL 33076-3374
Phone (954) 509-3650

National Provider Directory

National Provider Directory
Tax ID family
Tenet Florida Physician Services LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

2817 E Oakland Park Blvd
Ste 101
Ft Lauderdale, FL 33306
Phone (954) 566-3433

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1689908808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 CORAL RIDGE DR",
            "address_2": "STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763374",
            "telephone_number": "954-509-3650",
            "fax_number": "954-796-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 E OAKLAND PARK BLVD",
            "address_2": "STE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061889",
            "telephone_number": "954-566-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET FLORIDA PHYSICIAN SERVICES, LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SVP, OPS FINANCE & PMI, TENET",
        "authorized_official_telephone_number": "469-893-6960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal 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 Sep 21, 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.