Organization Active NPI

Associatesmd

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1881023166
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10282 Issued in FL
Legal business name
ASSOCIATESMD
Practice address
4801 S University Dr Ste 104
Davie, FL 33328-3835
Phone
(954) 279-2572
Fax
(855) 299-5905
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATES IN FAMILY PRACTICE OF BROWARD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Spencer Hastings
Title
Manager
Phone
(954) 279-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10282 FL Primary

Addresses

Primary practice location

4801 S University Dr Ste 104
Davie, FL 33328-3835

Mailing address

4801 S University Dr Ste 104
Davie, FL 33328-3835
Phone (954) 279-2572

National Provider Directory

National Provider Directory
Tax ID family
Associatesmd2 organizations share this tax ID, including this one
Part of
Associates in Family Practice of Broward LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4801 S University Dr
Ste 104
Davie, FL 33328

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1881023166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-279-2572",
            "fax_number": "855-299-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-279-2572",
            "fax_number": "855-299-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATESMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATES IN FAMILY PRACTICE OF BROWARD, LLC",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-279-2572"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 2013; 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.