Active NPI
Valuecare Medical, LLC
- Family Medicine Physician
- Lauderdale Lakes, FL
National Provider Identifier
1861625287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS8247
- Legal business name
- VALUECARE MEDICAL, LLC
- Practice address
- 3001 N State Road 7
Lauderdale Lakes, FL 33313-1913 - Phone
- (954) 486-3753
- Fax
- (954) 484-7484
- NPI assigned
- Sep 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jarrod Marc Frydman, D.O.
- Title
- Vice President
- Phone
- (954) 581-8272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS8247 | FL | Primary |
Addresses
Primary practice location
3001 N State Road 7
Lauderdale Lakes, FL 33313-1913
Mailing address
6099 Stirling Rd
Davie, FL 33314-7234
Phone (954) 581-7660
National Provider Directory
National Provider DirectoryLocations
3801 Turtle Creek Dr
Coral Springs, FL 33067
Phone (954) 341-1978
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Davie, FL
- NPI 1932621281
-
- Family Medicine Physician
- Davie, FL
- NPI 1376592048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1861625287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6099 STIRLING RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147234",
"telephone_number": "954-581-7660",
"fax_number": "954-587-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333131913",
"telephone_number": "954-486-3753",
"fax_number": "954-484-7484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUECARE MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-02",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "FRYDMAN",
"authorized_official_first_name": "JARROD",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-581-8272",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.