Active NPI
Healthy Family Medical Group, LLC
- Internal Medicine Physician
- Brandon, FL
National Provider Identifier
1801263983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ACN415
- Legal business name
- HEALTHY FAMILY MEDICAL GROUP, LLC
- Practice address
- 1138 Nikki View Dr
Brandon, FL 33511-4868 - Phone
- (813) 393-1500
- Fax
- (813) 393-1501
- NPI assigned
- Aug 25, 2015
- Last updated
- Feb 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Beresford
- Title
- Secretary
- Phone
- (340) 642-3813
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ACN415 | FL | Primary |
| Pediatrics Physician | 208000000X | 94636 | FL |
Addresses
Primary practice location
1138 Nikki View Dr
Brandon, FL 33511-4868
Mailing address
PO Box 891293
Tampa, FL 33689-1100
Phone (813) 393-1500
National Provider Directory
National Provider DirectoryLocations
1138 Nikki View Dr
Brandon, FL 33511
Phone (813) 393-1500
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456099200000",
"number": "1801263983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 891293",
"city": "TAMPA",
"state": "FL",
"postal_code": "336891100",
"telephone_number": "813-393-1500",
"fax_number": "813-393-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114868",
"telephone_number": "813-393-1500",
"fax_number": "813-393-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY FAMILY MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2016-02-22",
"status": "A",
"authorized_official_last_name": "BERESFORD",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "340-642-3813"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ACN415",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "94636",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Healthcare Specialty Inc
- Healthpoint Medical Group Inc
- Healthpoint Medical Group Inc
- Healthy Bodies Dental Center
- Healthy Bodies Medical Center
- Healthy Nu Life (Nuviva Medical Weight Loss of Brandon)
- Eric Scott Heaps, O.D.
- Brittany Erin Hearn, D.O.
- Heart & Vein Center PA
- Heart and Vascular Center of Brandon, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.