PMC Plantation LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MC 39723 Issued in FL

Legal business name

PMC PLANTATION LLC

Practice address

1806 N Pine Island Rd
Plantation, FL 33322-5202

Phone

(954) 474-0110

Fax

(954) 424-9859

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Cavanaugh, MD

Title

Medical Doctor

Phone

(954) 474-0110

Specialties & licenses 1

Addresses

Other names 1

• PMC PLantation LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa J Galdona-Gorassini, PAC

  • Physician Assistant
  • Miami, FL
  • NPI 1891940474
  NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1750390688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225202",
            "telephone_number": "954-474-0110",
            "fax_number": "954-424-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225202",
            "telephone_number": "954-474-0110",
            "fax_number": "954-424-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PLANTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-474-0110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "MC 39723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMC PLantation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karla Platzer, DDS
• Alexander Plavnik, MD
• Donna Pleasants, P.T
• Gail I Plyser-Feeley, M.A., CCC/SLP
• PM Pediatrics of Florida, LLC
• Aldo Poblete, MD
• Alexander Poisik, MD
• Natalia Beatriz Polanco Roman, MD
• Joanna Polanco
• Kyle Polaski, DO

• Legal Medicine in Plantation, FL
• Providers in Plantation, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.