Physician Partnership Alliance LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

ME0080969 Issued in FL

Legal business name

PHYSICIAN PARTNERSHIP ALLIANCE LLC

Practice address

3829 Hollywood Blvd
Ste a
Hollywood, FL 33021-6790

Phone

(786) 233-8722

Fax

(954) 281-5440

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. F.M. Antonieta Schettino, M.D.

Title

Chief Medical Officer

Phone

(786) 233-8722

Specialties & licenses 1

Addresses

Tax ID family

Family Physician Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Physician Partnership Alliance LLC

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1700246204
  NPD tax ID

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1790178697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 HOLLYWOOD BLVD",
            "address_2": "STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216790",
            "telephone_number": "786-233-8722",
            "fax_number": "954-281-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 HOLLYWOOD BLVD",
            "address_2": "STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216790",
            "telephone_number": "786-233-8722",
            "fax_number": "954-281-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERSHIP ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHETTINO",
        "authorized_official_first_name": "F.M.",
        "authorized_official_middle_name": "ANTONIETA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "786-233-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME0080969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Phillips, PHARMD
• Kaitlyn Kristi Phipps
• Physical Therapy Institute and Aquatic Rehab, Inc.
• Physician Associates of Broward Inc
• Physician Partnership Alliance LLC
• Physician's Institute of Cosmetic and Reconstructive Surgery
• Physicians Creek Inc
• Physicians Imaging Center of Florida LLC
• Physicians of Hollywood LLC
• Gabriela Nunes Piacentini, ACNP

• Public Health & General Preventive Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.