Organization Active NPI

Florida Family Practice

  • Primary Care Clinic/Center
  • Davie, FL
National Provider Identifier
1871184168
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FLORIDA FAMILY PRACTICE
Doing business as
My Wellness Practice
Practice address
12525 Orange Dr
Davie, FL 33330-4308
Phone
(954) 439-4333
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Sumaira Jagvani, NP
Title
NP/ Owner
Phone
(954) 439-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12525 Orange Dr
Davie, FL 33330-4308

Mailing address

12525 Orange Dr
Davie, FL 33330-4308
Phone (954) 439-4333

Other names 1

  • My Wellness Practice Doing business as

National Provider Directory

National Provider Directory

Locations

12525 Orange Dr
Davie, FL 33330
Phone (954) 439-4333

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1871184168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 ORANGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304308",
            "telephone_number": "954-439-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 ORANGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304308",
            "telephone_number": "954-439-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JAGVANI",
        "authorized_official_first_name": "SUMAIRA",
        "authorized_official_title_or_position": "NP/ OWNER",
        "authorized_official_telephone_number": "954-439-4333",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Wellness Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Wellness Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.