Organization Active NPI

Medical Specialists of Fort Lauderdale Inc

  • Hematology & Oncology Physician
  • Sunrise, FL
National Provider Identifier
1710277967
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MEDICAL SPECIALISTS OF FORT LAUDERDALE INC
Practice address
8395 W Oakland Park Blvd
Suite a
Sunrise, FL 33351-7301
Phone
(954) 747-6220
Fax
(954) 747-6755
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Jacob Gitman
Title
Ceo
Phone
(954) 248-3422

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

8395 W Oakland Park Blvd
Suite a
Sunrise, FL 33351-7301

Mailing address

8395 W Oakland Park Blvd
Suite a
Sunrise, FL 33351-7301
Phone (954) 747-6220

Other practice location 1

8395 W Oakland Park Blvd Ste D
Sunrise, FL 33351-7301
Phone (954) 741-3335

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1710277967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD",
            "address_2": "SUITE A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517301",
            "telephone_number": "954-747-6220",
            "fax_number": "954-747-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD",
            "address_2": "SUITE A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517301",
            "telephone_number": "954-747-6220",
            "fax_number": "954-747-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8395 W Oakland Park Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517301",
            "country_code": "US",
            "telephone_number": "954-741-3335",
            "fax_number": "954-368-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF FORT LAUDERDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "GITMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-248-3422"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.