Deerfield Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

HCC7879 Issued in FL

Legal business name

DEERFIELD MEDICAL GROUP LLC

Doing business as

Sussman Medical Associates

Practice address

1979 W Hillsboro Blvd
Suite 1
Deerfield Beach, FL 33442-1444

Phone

(954) 428-4800

Fax

(954) 428-4909

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

David R Rodriguez

Title

President

Phone

(954) 428-4800

Specialties & licenses 2

Addresses

Other names 1

• Sussman Medical Associates Doing business as

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1922153287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 W HILLSBORO BLVD",
            "address_2": "SUITE 1",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421444",
            "telephone_number": "954-428-4800",
            "fax_number": "954-428-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 W HILLSBORO BLVD",
            "address_2": "SUITE 1",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421444",
            "telephone_number": "954-428-4800",
            "fax_number": "954-428-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-428-4800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC7879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "HCC7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sussman Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Jun 24, 2008; 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.