Family Medical Center of Hollywood PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME87219 Issued in FL

Legal business name

FAMILY MEDICAL CENTER OF HOLLYWOOD PA

Practice address

4050 Sheridan St
Suite C
Hollywood, FL 33021-3561

Phone

(954) 889-0211

Fax

(954) 889-0213

NPI assigned

Jul 28, 2008

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Joachim McKenzie, M.D.NPI 1538146725

Title

President

Phone

(954) 889-0211

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Joachim McKenzie, M.D.

  • Family Medicine Physician
  • Hallandale Beach, FL
  • NPI 1538146725
  Authorized official Same address or phone

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1790940864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 SHERIDAN ST",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213561",
            "telephone_number": "954-889-0211",
            "fax_number": "954-889-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 SHERIDAN ST",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213561",
            "telephone_number": "954-889-0211",
            "fax_number": "954-889-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF HOLLYWOOD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOACHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-889-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Enrichment Behavioral Health Services Inc (Family Enrichment Behavior)
• Family Enrichment Behavioral Health Systems II, Inc. (Behavioral Health Services, Inc)
• Family Home Care Alf LLC
• Family Home Care LLC
• Family Lingo (Native Speech)
• Family Medical Group Hollywood, LLC
• Family Medical Supplies LLC
• Family Physician Partners Inc
• Family Service Agency, Inc
• Family Urgent Care of Hollywood, P.a. (Centre Medical International)

• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.