Organization Active NPI

Primary Care Medical Services

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1750418299
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69293 Issued in FL
Legal business name
PRIMARY CARE MEDICAL SERVICES
Practice address
10000 Stirling Rd
Suite 3
Hollywood, FL 33024-8067
Phone
(954) 517-9166
Fax
(954) 517-9167
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Marie-Alice Lara, MD
Title
Vice Presidentd
Phone
(954) 517-9166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME69293 FL Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X ME79139 FL

Addresses

Primary practice location

10000 Stirling Rd
Suite 3
Hollywood, FL 33024-8067

Mailing address

PO Box 848127
Pembroke Pines, FL 33084-0127
Phone (954) 517-9166

Other identifiers 1

IdentifierTypeStateIssuer
74888OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

10000 Stirling Rd
Ste 3
Hollywood, FL 33024
Phone (954) 517-9166

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1750418299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848127",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330840127",
            "telephone_number": "954-517-9166",
            "fax_number": "954-517-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD",
            "address_2": "SUITE 3",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248067",
            "telephone_number": "954-517-9166",
            "fax_number": "954-517-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "MARIE-ALICE",
        "authorized_official_title_or_position": "VICE PRESIDENTD",
        "authorized_official_telephone_number": "954-517-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69293",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74888",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.