Primary Total Care Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY TOTAL CARE CORP

Practice address

3015 S Congress Ave Ste 1
Lake Worth, FL 33461-2111

Phone

(561) 308-0818

Fax

(561) 444-3491

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Marlenys Perez

Title

Manager

Phone

(561) 308-0818

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22085/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1982218079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-308-0818",
            "fax_number": "561-444-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-308-0818",
            "fax_number": "561-444-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY TOTAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARLENYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-308-0818"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.