Organization Active NPI

Florida Health Management Group, Inc

  • General Practice Physician
  • Hallandale Beach, FL
National Provider Identifier
1801122940
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME50277 Issued in FL
Legal business name
FLORIDA HEALTH MANAGEMENT GROUP, INC
Practice address
1920 E Hallandale Beach Blvd
503
Hallandale Beach, FL 33009-4722
Phone
(305) 331-2798
Fax
(954) 944-3181
NPI assigned
Oct 25, 2009
Organization subpart
Yes
Parent organization
FLORIDA HEALTH MANAGEMENT GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mr. Robert Viera
Title
President
Phone
(305) 331-2798

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME50277 FL
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X ME50277 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME50277 FL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X ME50277 FL
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA 9103525 FL
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA 9103525 FL

Addresses

Primary practice location

1920 E Hallandale Beach Blvd
503
Hallandale Beach, FL 33009-4722

Mailing address

1920 E Hallandale Beach Blvd
503
Hallandale Beach, FL 33009-4722
Phone (305) 331-2798

Other identifiers 1

IdentifierTypeStateIssuer
05653OtherFLMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory
Tax ID family
Florida Health Management Group Inc2 organizations share this tax ID, including this one
Part of
Florida Health Management Group Inc

Other organizations with this tax ID 1

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

Locations

1920 E Hallandale Beach Blvd
Ste 503
Hallandale Beach, FL 33009
Phone (305) 331-2798

NPI Registry JSON

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1801122940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD",
            "address_2": "503",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094722",
            "telephone_number": "305-331-2798",
            "fax_number": "954-944-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD",
            "address_2": "503",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094722",
            "telephone_number": "305-331-2798",
            "fax_number": "954-944-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH MANAGEMENT GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HEALTH MANAGEMENT GROUP, INC",
        "enumeration_date": "2009-10-25",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "VIERA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-331-2798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME50277",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME50277",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME50277",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME50277",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103525",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "05653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.