Organization Active NPI

Impact Care Medical Services TX South PLLC

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1891630133
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMPACT CARE MEDICAL SERVICES TX SOUTH PLLC
Practice address
5870 Stirling Rd Ste 207
Hollywood, FL 33021-1527
Phone
(718) 964-6161
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Eli Wercberger
Title
Manager
Phone
(718) 964-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5870 Stirling Rd Ste 207
Hollywood, FL 33021-1527

Mailing address

5870 Stirling Rd Ste 207
Hollywood, FL 33021-1527
Phone (718) 964-6161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1891630133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 STIRLING RD STE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "718-964-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 STIRLING RD STE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "718-964-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CARE MEDICAL SERVICES TX SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "WERCBERGER",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-964-6161"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.