Primary Care Specialist of South Florida PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE SPECIALIST OF SOUTH FLORIDA PA

Practice address

4850 W Oakland Park Blvd Ste 143
Lauderdale Lakes, FL 33313-7277

Phone

(786) 275-3725

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Jarynet Beltran, ARNPNPI 1972905628

Title

Owner

Phone

(954) 937-4828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jarynet Beltran

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1972905628
  Medicare reassignment NPD Authorized official
• Richard Barry Polakoff, MD

  • Cardiovascular Disease Physician
  • Lauderdale Lakes, FL
  • NPI 1356315303
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1962995845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20200 W DIXIE HIGH WAY",
            "address_2": "1105A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "786-275-3727",
            "fax_number": "305-599-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 143",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137277",
            "telephone_number": "786-275-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20200 w dixie high way",
            "address_2": "1108",
            "address_purpose": "LOCATION",
            "city": "aventura",
            "state": "FL",
            "postal_code": "33301",
            "country_code": "US",
            "telephone_number": "786-275-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALIST OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "JARYNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-937-4828",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.