Organization Active NPI

GG Healthcare PA

Doing business as Prontomed Urgent Care Clinic

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1699047654
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME104204 Issued in FL
Legal business name
GG HEALTHCARE PA
Doing business as
Prontomed Urgent Care Clinic
Practice address
6241 Pembroke Rd
Hollywood, FL 33023-2215
Phone
(954) 367-3436
Fax
(954) 374-9887
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Mr. Guillermo Alfredo Granados, PA
Title
Ceo/Owner
Phone
(954) 367-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME104204 FL Primary

Addresses

Primary practice location

6241 Pembroke Rd
Hollywood, FL 33023-2215

Mailing address

6241 Pembroke Rd
Hollywood, FL 33023-2215
Phone (954) 367-3436

Other names 1

  • PRONTOMED URGENT CARE CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

6241 Pembroke Rd
Hollywood, FL 33023
Phone (954) 367-3436

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1699047654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232215",
            "telephone_number": "954-367-3436",
            "fax_number": "954-374-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6241 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232215",
            "telephone_number": "954-367-3436",
            "fax_number": "954-374-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GG HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "954-367-3436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME104204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRONTOMED URGENT CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.