Grace Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE FAMILY MEDICINE, LLC

Practice address

5700 Lake Worth Rd Ste 211
Greenacres, FL 33463-3275

Phone

(561) 331-5155

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Carlos Poveda, MHA

Title

Manager

Phone

(561) 317-2389

Specialties & licenses 2

Addresses

Other names 1

• Grace Family Medicine Direct Primary Care of Wellington Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Jessica Mendez, ARNP

  • Family Nurse Practitioner
  • Greenacres, FL
  • NPI 1194100073
  Medicare reassignment Care Compare group NPD
• Leon Poveda, M.D.

  • Family Medicine Physician
  • Greenacres, FL
  • NPI 1508801242
  Medicare reassignment Care Compare group NPD
• Mounir Makram Wassef, D.O.

  • Dermatology Physician
  • Wellington, FL
  • NPI 1659512366
  NPD
• Debra Jayne Harding, ARNP

  • Family Nurse Practitioner
  • Palm City, FL
  • NPI 1053767111
  NPD (past)

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746316800000",
    "number": "1831712801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 GRANDVIEW MNR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148840",
            "telephone_number": "561-317-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 211",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633275",
            "telephone_number": "561-331-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "POVEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-317-2389",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Family Medicine Direct Primary Care of Wellington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Family Medicine Direct Primary Care of Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Gould
• Michelle Robin Gould, LMHC, NCC, BC-TMH
• Jose Manuel Goyos, PH.D.
• Grace Care Home Health LLC
• Grace Care Home Health LLC
• Muriel Granville-Stoev, M.D.
• Green Acres Family Chiropractic and Wellness Center ,Inc
• Green Worth Services Inc
• Greenacres Adult Day Care LLC
• Greenacres Dialysis Center LLC

• Family Medicine Physician in Greenacres, FL
• Providers in Greenacres, 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 May 4, 2025; 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.