Organization Active NPI

General Medicine and Urgent Care Clinic

  • Clinic/Center
  • Atlantis, FL
National Provider Identifier
1972824613
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OS10474 Issued in FL
Legal business name
GENERAL MEDICINE AND URGENT CARE CLINIC
Practice address
5913 S Congress Ave
Atlantis, FL 33462-1303
Phone
(561) 965-4300
Fax
(561) 965-4399
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. M. Rahat Faderani, D,O,, M.P.H.
Title
Owner/President
Phone
(561) 965-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OS10474 FL Primary

Addresses

Primary practice location

5913 S Congress Ave
Atlantis, FL 33462-1303

Mailing address

5913 S Congress Ave
Atlantis, FL 33462-1303
Phone (561) 965-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1972824613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621303",
            "telephone_number": "561-965-4300",
            "fax_number": "561-965-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621303",
            "telephone_number": "561-965-4300",
            "fax_number": "561-965-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICINE AND URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "FADERANI",
        "authorized_official_first_name": "M. RAHAT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-965-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,O,, M.P.H."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS10474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.