Organization Active NPI

Premiermd Quality Care LLC

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1922814045
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIERMD QUALITY CARE LLC
Practice address
3465 Galt Ocean Dr Ste 202
Ft Lauderdale, FL 33308-7077
Phone
(954) 947-1773
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Victor Toledano, MD
Title
Owner
Phone
(954) 947-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3465 Galt Ocean Dr Ste 202
Ft Lauderdale, FL 33308-7077

Mailing address

PO Box 11457
Fort Lauderdale, FL 33339-1457
Phone (954) 947-1773

National Provider Directory

National Provider Directory

Locations

3465 Galt Ocean Dr
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 947-1773

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1922814045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11457",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391457",
            "telephone_number": "954-947-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR STE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-947-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERMD QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-947-1773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.