Organization Active NPI

Doctor Visit, P.a.

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1962719161
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59745 Issued in FL
Legal business name
DOCTOR VISIT, P.A.
Practice address
20191 E Country Club Dr
Apt 2111
Aventura, FL 33180-3012
Phone
(954) 224-8737
Fax
(305) 937-4022
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Jeffrey A Sack, M.D.
Title
President
Phone
(954) 450-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME59745 FL Primary

Addresses

Primary practice location

20191 E Country Club Dr
Apt 2111
Aventura, FL 33180-3012

Mailing address

20191 E Country Club Dr
Apt 2111
Aventura, FL 33180-3012
Phone (954) 224-8737

National Provider Directory

National Provider Directory

Locations

501 NW 103rd Ave
Ste 4
Pembroke Pines, FL 33026
Phone (954) 450-7172

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1962719161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20191 E COUNTRY CLUB DR",
            "address_2": "APT 2111",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803012",
            "telephone_number": "954-224-8737",
            "fax_number": "305-937-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20191 E COUNTRY CLUB DR",
            "address_2": "APT 2111",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803012",
            "telephone_number": "954-224-8737",
            "fax_number": "305-937-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR VISIT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-450-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.