Organization Active NPI

Mahogany Health Center Inc

  • Primary Care Clinic/Center
  • Plantation, FL
National Provider Identifier
1942848833
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MAHOGANY HEALTH CENTER INC
Practice address
660 N State Road 7 Ste 4
Plantation, FL 33317-2117
Phone
(305) 773-2549
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mr. Fletcher Paschal IV
Title
Director
Phone
(305) 773-2549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

660 N State Road 7 Ste 4
Plantation, FL 33317-2117

Mailing address

PO Box 246000
Pembroke Pines, FL 33024-0116

National Provider Directory

National Provider Directory

Locations

660 N State Road 7
Ste 4
Plantation, FL 33317
Phone (305) 773-2549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1942848833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246000",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N STATE ROAD 7 STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172117",
            "telephone_number": "305-773-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "PASCHAL",
        "authorized_official_first_name": "FLETCHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-773-2549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.