Primary Care at Home of Florida PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PRIMARY CARE AT HOME OF FLORIDA PLLC

Doing business as

Jason C. Cardillo

Practice address

5949 NW 24TH CT
Margate, FL 33063-1952

Phone

(954) 621-8980

NPI assigned

Jun 16, 2021

Last updated

Sep 29, 2021By 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

Dr. Jason Charles Cardillo

Title

DNP

Phone

(813) 368-5494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jason C. Cardillo Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24270/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1720656523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 W SAMPLE RD UNIT 670783",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330675142",
            "telephone_number": "954-621-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 NW 24TH CT",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631952",
            "telephone_number": "954-621-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AT HOME OF FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "813-368-5494",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JASON CARDILLO",
            "identifier": "1316472483",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason C. Cardillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Margate, FL
• Providers in Margate, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.