NPIMap

Organization Active NPI

Carbon Health Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Davie, FL
National Provider Identifier
1760147557
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARBON HEALTH PRIMARY CARE OF FLORIDA PA
Practice address
4825 SW 148TH Ave
Davie, FL 33330-2129
Phone
(954) 526-7291
Fax
(888) 972-1912
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Marley Page
Title
Director
Phone
(417) 861-9739

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

4825 SW 148TH Ave
Davie, FL 33330-2129

Mailing address

300 California St FL 7
San Francisco, CA 94104-1415

National Provider Directory

National Provider Directory
Tax ID family
Carbon Health Primary Care of Florida PA15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1760147557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CALIFORNIA ST FL 7",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-526-7291",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH PRIMARY CARE OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 25, 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.