Priority Health MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIORITY HEALTH MD INC

Practice address

9999 Sheridan St Ste 120
Hollywood, FL 33024-3086

Phone

(954) 589-1198

NPI assigned

Jan 23, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Fernandez-Blay, MDNPI 1205821352

Title

Director

Phone

(954) 890-2524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto C Fernandez Blay, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1205821352
  Medicare reassignment NPD Authorized official
• Maximo Jose Fernandez, MD

  • Cardiovascular Disease Physician
  • Davie, FL
  • NPI 1215119185
  NPD
• Joel Jorge Mantilla, MD

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
  • NPI 1336088723
  NPD

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1891447694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302127",
            "telephone_number": "954-374-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 SHERIDAN ST STE 120",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243086",
            "telephone_number": "954-589-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-BLAY",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-890-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Medical Physicians, LLC
• Primary Medical Physicians, LLC
• Prime Pediatric Dental Group PA
• Prince Adam's Place
• Principletherapy LLC
• Priority Life Services, Corp
• Johanna Pristell
• Pristine Mental and Behavioral Health LLC
• Cara Pritchett
• Prmier Medical Products of Florida

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.