Organization Active NPI

Audax Healthcare Management

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1972849784
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81676 Issued in FL
Legal business name
AUDAX HEALTHCARE MANAGEMENT
Practice address
6495 Taft St
Hollywood, FL 33024-4110
Phone
(786) 488-3410
Fax
(866) 592-1144
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Felix Daniel Alicea
Title
MGRM
Phone
(786) 488-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME81676 FL Primary

Addresses

Primary practice location

6495 Taft St
Hollywood, FL 33024-4110

Mailing address

6495 Taft St
Hollywood, FL 33024-4110
Phone (786) 488-3410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1972849784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110",
            "telephone_number": "786-488-3410",
            "fax_number": "866-592-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110",
            "telephone_number": "786-488-3410",
            "fax_number": "866-592-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDAX HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "786-488-3410"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.