Organization Active NPI

Primary Care Medical Ctr. LLC

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1780975300
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-000748 Issued in FL
Legal business name
PRIMARY CARE MEDICAL CTR. LLC
Practice address
5460 N State Road 7
Suite 110
Fort Lauderdale, FL 33319-2952
Phone
(954) 533-2471
NPI assigned
Apr 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Authorized official

Name
Yves Michael Laventure, D.O.NPI 1538299425
Title
Ceo-Manager
Phone
(954) 533-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS-000748 FL Primary

Addresses

Primary practice location

5460 N State Road 7
Suite 110
Fort Lauderdale, FL 33319-2952

Mailing address

5460 N State Road 7
Suite 110
Fort Lauderdale, FL 33319-2952
Phone (954) 533-2471

National Provider Directory

National Provider Directory

Locations

5460 N State Road 7
Ste 110
Fort Lauderdale, FL 33319
Phone (954) 533-2471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304121600000",
    "number": "1780975300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 N STATE ROAD 7",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192952",
            "telephone_number": "954-533-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 N STATE ROAD 7",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192952",
            "telephone_number": "954-533-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL CTR. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A",
        "authorized_official_last_name": "LAVENTURE",
        "authorized_official_first_name": "YVES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO-MANAGER",
        "authorized_official_telephone_number": "954-533-2471",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; 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.