Individual provider Active NPI

Safira Jacklyn St. Fort, MD

  • Hospitalist Physician
  • West Palm Beach, FL
National Provider Identifier
1760061816
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME164372 Issued in FL
Practice address
5300 East Ave
West Palm Beach, FL 33407-2387
Phone
(561) 848-5200
Fax
(561) 227-5172
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME164372 FL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME164372 FL

Addresses

Primary practice location

5300 East Ave
West Palm Beach, FL 33407-2387

Mailing address

5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 848-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724000009 FL Practitioner - HospitalistPractitioner - Hospice/Palliative Care 0244776490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Hospice/Palliative Care
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Lauderdale Physician Services, LLCGroup PAC ID 0446535280, 18 clinicians

Practice addresses (Care Compare)

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone (954) 776-8500

Hospital & facility affiliations

  • Hospice of Palm Beach County Inc Hospice, West Palm Beach, FL, CCN 101512
  • Hospice by the Sea Inc Hospice, Boca Raton, FL, CCN 101504
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME164372FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Lauderdale Physician Services, LLC Hospitalist CurrentSince Apr 25, 2025 Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Jul 25, 2024 Accepting new patients
Harbor Palliative Care Services, Inc. CurrentSince May 3, 2025 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

Interoperability endpoints

  • Direct secure messaging: safira.stfort@hca4.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1760061816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-848-5200",
            "fax_number": "561-227-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-848-5200",
            "fax_number": "561-227-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. FORT",
        "first_name": "SAFIRA",
        "middle_name": "JACKLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME164372",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME164372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.