Organization Active NPI

PHR Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Lake Park, FL
National Provider Identifier
1841948403
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHR MEDICAL GROUP INC
Practice address
509 US 1
Lake Park, FL 33403-3557
Phone
(561) 704-6781
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Randy Herfield
Title
Ceo
Phone
(561) 704-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

509 US 1
Lake Park, FL 33403-3557

Mailing address

741 US Highway 1 Ste B
North Palm Beach, FL 33408-4508
Phone (561) 704-6781

National Provider Directory

National Provider Directory

Locations

741 US Highway 1
Ste B
North Palm Beach, FL 33408

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1841948403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 US HIGHWAY 1 STE B",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084508",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 US 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033557",
            "telephone_number": "561-704-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.