CD Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CD MEDICAL GROUP LLC

Practice address

3537 SW Princeton St
Port St Lucie, FL 34953-3726

Phone

(561) 891-8985

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Carianne Dennis, FNP-BCNPI 1164754628

Title

Owner

Phone

(561) 891-8985

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.

• Carianne Fiona Dennis, ARNP

  • Geriatric Medicine (Internal Medicine) Physician
  • Boca Raton, FL
  • NPI 1164754628
  NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1821723149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 SW PRINCETON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533726",
            "telephone_number": "561-891-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 SW PRINCETON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533726",
            "telephone_number": "561-891-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-891-8985",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesse Castin
• Hazel Castro, P.T.
• Tatiana Castro, MSC/PCC
• Alyssa Rae Catalano
• Susan M Cawley
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• Family Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, 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 20, 2022; 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.