Organization Active NPI

Mdesarmes LLC

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1831058551
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MDESARMES LLC
Practice address
6565 Taft St Ste 300
Hollywood, FL 33024-4044
Phone
(561) 576-3074
Fax
(561) 557-7380
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Michelle Rose-Marie DesarmesNPI 1487154746
Title
Owner
Phone
(954) 743-2136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6565 Taft St Ste 300
Hollywood, FL 33024-4044

Mailing address

6565 Taft St Ste 300
Hollywood, FL 33024-4044
Phone (954) 743-2136

Other identifiers 1

IdentifierTypeStateIssuer
1386188407MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030000397 FL Part B Supplier - Clinic/Group Practice 0547670614 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; Hollywood, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mdesarmes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6565 Taft St
Ste 300
Hollywood, FL 33024
Phone (561) 576-3074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1831058551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 TAFT ST STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244044",
            "telephone_number": "954-743-2136",
            "fax_number": "954-994-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 TAFT ST STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244044",
            "telephone_number": "561-576-3074",
            "fax_number": "561-557-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDESARMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "DESARMES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ROSE-MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-743-2136"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386188407",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.