Premiermd Medical Plus Healthcare LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PREMIERMD MEDICAL PLUS HEALTHCARE LLC

Practice address

3465 Galt Ocean Dr
203
Fort Lauderdale, FL 33308-7077

Phone

(954) 561-5135

Fax

(954) 561-5180

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Victor Toledano, M.D.

Title

President

Phone

(954) 566-7775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1902356751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135",
            "fax_number": "954-561-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-561-5135",
            "fax_number": "954-561-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERMD MEDICAL PLUS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-566-7775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.