Organization Active NPI

First Harbour Medical Centers, LLC

  • Primary Care Clinic/Center
  • Bradenton, FL
National Provider Identifier
1831543982
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FIRST HARBOUR MEDICAL CENTERS, LLC
Practice address
712 53Rd Ave E
Bradenton, FL 34203-5827
Phone
(941) 755-2456
NPI assigned
Apr 14, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Gabriela Watters
Title
Director of Compliance
Phone
(941) 243-4660

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

712 53Rd Ave E
Bradenton, FL 34203-5827

Mailing address

7320 Delainey CT
Lakewood Ranch, FL 34240-8445
Phone (941) 373-6323

Other practice location 1

2902 59th St W Ste M
Bradenton, FL 34209-7021
Phone (941) 795-7401

Other practice location 2

4901 Clark Rd
Sarasota, FL 34233-3251
Phone (941) 925-7612

Other practice location 3

14616 East State Road 70
Bradenton, FL 34202
Phone (941) 870-3585

National Provider Directory

National Provider Directory

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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1831543982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 DELAINEY CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408445",
            "telephone_number": "941-373-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035827",
            "telephone_number": "941-755-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 59th St W Ste M",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097021",
            "country_code": "US",
            "telephone_number": "941-795-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333251",
            "country_code": "US",
            "telephone_number": "941-925-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14616 East State Road 70",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34202",
            "country_code": "US",
            "telephone_number": "941-870-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST HARBOUR MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "941-243-4660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.