Florida Medical Providers Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FLORIDA MEDICAL PROVIDERS INC

Practice address

2901 SW 149TH Ave
Suite 170
Miramar, FL 33027

Phone

(954) 442-7881

Fax

(954) 442-9925

NPI assigned

Apr 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. W Charles Jackson

Title

President Ceo

Phone

(954) 442-7881

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Jackson Jr., M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1184607541
  NPD (past)
• Axell Francisco Palma, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1831165042
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710107891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SW 149TH AVE",
            "address_2": "SUITE 170",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-442-7881",
            "fax_number": "954-442-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SW 149TH AVE",
            "address_2": "SUITE 170",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-442-7881",
            "fax_number": "954-442-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "W CHARLES",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "954-442-7881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Home Bound Mental Health Agency Inc.
• Florida Home Medical Equipment
• Florida Home Support Center LLC
• Florida Internists LLC
• Florida Medical Link
• Florida Orthopedic & Injury Centers
• Florida Physical Therapy Services of Miramar, LLC (Florida Physical Therapy Services of Miramar)
• Florida Post Acute Care Clinicians, LLC
• Florida Post Acute Care Clinicians, LLC
• Florida Post Acute Care Clinicians, LLC

• Primary Care Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.