Florida Primary Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC10450 Issued in FL

Legal business name

FLORIDA PRIMARY HEALTH LLC

Practice address

5890 Stirling Rd
Suite 5/6
Hollywood, FL 33021-1542

Phone

(954) 606-5656

Fax

(954) 606-5657

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Carolina Preciado, OWNER

Title

President

Phone

(954) 606-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1720459175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 STIRLING RD",
            "address_2": "SUITE 5/6",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211542",
            "telephone_number": "954-606-5656",
            "fax_number": "954-606-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 STIRLING RD",
            "address_2": "SUITE 5/6",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211542",
            "telephone_number": "954-606-5656",
            "fax_number": "954-606-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PRIMARY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "PRECIADO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-606-5656",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCC UNIT",
            "identifier": "FILE 11100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.