Organization Active NPI

Associates of Family Practice

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1730304932
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9194742 Issued in FL
Legal business name
ASSOCIATES OF FAMILY PRACTICE
Practice address
4801 S University Dr Ste 104
Davie, FL 33328-3835
Phone
(954) 434-1705
NPI assigned
Apr 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mercy Daniel ThomasNPI 1629298492
Title
Arnp
Phone
(954) 389-1758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP 9194742 FL Primary

Addresses

Primary practice location

4801 S University Dr Ste 104
Davie, FL 33328-3835

Mailing address

3850 Falcon Ridge Cir
Weston, FL 33331-5015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1730304932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 FALCON RIDGE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-434-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "954-389-1758"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9194742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.