Active NPI
Primary Care Medical Services
- Internal Medicine Physician
- Hollywood, FL
National Provider Identifier
1750418299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME69293
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME69293 | FL | Primary |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74888 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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
- Robert A Price, M.D.
- Gema Prieto
- Merrill Hope Prieto, ARNP
- Alena Prikhidko, PH.D., LMFT
- Primary Care Doctors, LLC
- Primary Care Physicians of Hollywood, PA
- Primary Care Physicians of Hollywood, PL
- Primary Care Physicians of Hollywood, PL
- Primary Care Physicins of Hollywood PA
- Primary Dental Partners PA
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.