NPIMap

Organization Active NPI

Patrick Joseph Justiz, MD

  • Non-Pharmacy Dispensing Site
  • Hollywood, FL
National Provider Identifier
1982044400
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME80578 Issued in FL
Legal business name
PATRICK JOSEPH JUSTIZ, MD
Practice address
5201 Hollywood Blvd
2ND Floor
Hollywood, FL 33021-6422
Phone
(954) 981-5200
Fax
(954) 981-1614
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CONTINUCARE MEDICAL MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Holly Lopez
Title
VP Support Services
Phone
(305) 500-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME80578 FL Primary

Addresses

Primary practice location

5201 Hollywood Blvd
2ND Floor
Hollywood, FL 33021-6422

Mailing address

7200 Corporate Center Dr
Miami, FL 33126-1200
Phone (305) 500-2000

National Provider Directory

National Provider Directory
Tax ID family
Lai-Yuan Liu MD38 organizations share this tax ID, including this one
Part of
Lai-Yuan Liu MD

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

7200 NW 19th St
Miami, FL 33126

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1982044400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CORPORATE CENTER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261200",
            "telephone_number": "305-500-2000",
            "fax_number": "305-500-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HOLLYWOOD BLVD",
            "address_2": "2ND FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216422",
            "telephone_number": "954-981-5200",
            "fax_number": "954-981-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK JOSEPH JUSTIZ, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTINUCARE MEDICAL MANAGEMENT, INC",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VP SUPPORT SERVICES",
        "authorized_official_telephone_number": "305-500-2108"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME80578",
            "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 Jun 28, 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.