Family Medicine Clinics of South Florida PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME84821 Issued in FL

Legal business name

FAMILY MEDICINE CLINICS OF SOUTH FLORIDA PA

Practice address

717 Broadway
Dunedin, FL 34698-6912

Phone

(954) 745-7999

Fax

(954) 337-3199

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan S Ware, MD

Title

President

Phone

(954) 745-7999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1801940945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 BROADWAY",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986912",
            "telephone_number": "954-745-7999",
            "fax_number": "954-337-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BROADWAY",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986912",
            "telephone_number": "954-745-7999",
            "fax_number": "954-337-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CLINICS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-745-7999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Ezepek Sr.
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• Family Medicine Physician in Dunedin, FL
• Providers in Dunedin, 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 Jul 27, 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.