Organization Active NPI

MD Healthcare Network LLC

  • Family Medicine Physician
  • Weston, FL
National Provider Identifier
1962892141
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD HEALTHCARE NETWORK LLC
Practice address
304 Indian Trce
Suite 636
Weston, FL 33326-2996
Phone
(561) 843-7720
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Joseph J Dicapua
Title
MGR
Phone
(561) 843-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

304 Indian Trce
Suite 636
Weston, FL 33326-2996

Mailing address

304 Indian Trce
Suite 636
Weston, FL 33326-2996

National Provider Directory

National Provider Directory

Locations

3990 Sheridan St
Ste 101
Hollywood, FL 33021
Phone (954) 894-1616

Practitioners & affiliated clinicians

Practitioners 5

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": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1962892141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE",
            "address_2": "SUITE 636",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE",
            "address_2": "SUITE 636",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "561-843-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "DICAPUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-843-7720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.