Active NPI
Physician Partnership Alliance LLC
- Pediatrics Physician
- Hollywood, FL
National Provider Identifier
1700246204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME80969
- Legal business name
- PHYSICIAN PARTNERSHIP ALLIANCE LLC
- Practice address
- 3829 Hollywood Blvd
Suite a
Hollywood, FL 33021-6790 - Phone
- (954) 966-7337
- NPI assigned
- Feb 26, 2016
- Last updated
- Feb 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- F.M. Antonieta Schettino, M.D.
- Title
- Cmo
- Phone
- (786) 233-8722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME80969 | NU | Primary |
Addresses
Primary practice location
3829 Hollywood Blvd
Suite a
Hollywood, FL 33021-6790
Mailing address
1411 N West Shore Blvd
Suite 311
Tampa, FL 33607-4515
Phone (786) 233-8722
Other names 1
- FAMILY PHYSICIAN PARTNERS LLC
National Provider Directory
National Provider Directory- Tax ID family
- Family Physician Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health & General Preventive Medicine Physician
- Hollywood, FL
- NPI 1790178697
Locations
1411 N West Shore Blvd
Ste 311
Tampa, FL 33607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456444800000",
"number": "1700246204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N WEST SHORE BLVD",
"address_2": "SUITE 311",
"city": "TAMPA",
"state": "FL",
"postal_code": "336074515",
"telephone_number": "786-233-8722",
"fax_number": "954-227-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 HOLLYWOOD BLVD",
"address_2": "SUITE A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216790",
"telephone_number": "954-966-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN PARTNERSHIP ALLIANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A",
"authorized_official_last_name": "SCHETTINO",
"authorized_official_first_name": "F.M.",
"authorized_official_middle_name": "ANTONIETA",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "786-233-8722",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": "ME80969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY PHYSICIAN PARTNERS LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hollywood, FL
- Jacqueline Yevette Phillips
- Jonathan Phillips, PHARMD
- Kaitlyn Kristi Phipps
- Physical Therapy Institute and Aquatic Rehab, Inc.
- Physician Associates of Broward Inc
- Physician Partnership Alliance LLC
- Physician's Institute of Cosmetic and Reconstructive Surgery
- Physicians Creek Inc
- Physicians Imaging Center of Florida LLC
- Physicians of Hollywood LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.