Organization Active NPI

Medical Support Management

  • Primary Care Clinic/Center
  • Plantation, FL
National Provider Identifier
1760698468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICAL SUPPORT MANAGEMENT
Practice address
6738 W Sunrise Blvd
Suite 106
Plantation, FL 33313-6070
Phone
(954) 689-7131
Fax
(954) 689-7132
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Zoldan
Title
President
Phone
(954) 689-7131

Specialties & licenses 1

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

Addresses

Primary practice location

6738 W Sunrise Blvd
Suite 106
Plantation, FL 33313-6070

Mailing address

PO Box 266654
Weston, FL 33326-6654
Phone (954) 689-7131

Other names 1

  • Physical Medicine of Plantation Other name

National Provider Directory

National Provider Directory

Locations

6738 W Sunrise Blvd
Ste 106
Plantation, FL 33313
Phone (954) 625-0587

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760698468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266654",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333266654",
            "telephone_number": "954-689-7131",
            "fax_number": "954-689-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 W SUNRISE BLVD",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136070",
            "telephone_number": "954-689-7131",
            "fax_number": "954-689-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPORT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOLDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-689-7131"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Medicine of Plantation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.