Organization Active NPI

Valuecare Medical, LLC

  • Family Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1861625287
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8247 Issued in FL
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

Updated by the provider on Oct 21, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.