Elite Physicians Group of South Florida LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE PHYSICIANS GROUP OF SOUTH FLORIDA LLC

Practice address

950 N Federal Hwy Ste 200
Pompano Beach, FL 33062-4333

Phone

(954) 533-7705

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Erin Kennedy

Title

Cro

Phone

(954) 533-7705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1710569579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY STE 200",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624333",
            "telephone_number": "954-533-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY STE 200",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624333",
            "telephone_number": "954-533-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICIANS GROUP OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "954-533-7705"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.