Organization Active NPI

Spaahmed LLC

  • Internal Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1760902282
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126136 Issued in FL
Legal business name
SPAAHMED LLC
Practice address
1820 Nejensen Beach Blvd
Ste 561
Jensen Beach, FL 34957
Phone
(561) 562-0268
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Donnah Facey, MD
Title
Ambr
Phone
(561) 562-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME126136 FL Primary

Addresses

Primary practice location

1820 Nejensen Beach Blvd
Ste 561
Jensen Beach, FL 34957

Mailing address

1820 Nejensen Beach Blvd
Ste 561
Jensen Beach, FL 34957-7212
Phone (561) 562-0268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760902282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NEJENSEN BEACH BLVD",
            "address_2": "STE 561",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577212",
            "telephone_number": "561-562-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 NEJENSEN BEACH BLVD",
            "address_2": "STE 561",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "561-562-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAAHMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FACEY",
        "authorized_official_first_name": "DONNAH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "561-562-0268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.