Organization Active NPI

Nfam Physician Group

  • Addiction Medicine (Internal Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1992102891
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
NFAM PHYSICIAN GROUP
Practice address
1900 Corporate Square Blvd
Jacksonville, FL 32216-1941
Phone
(954) 691-0830
Fax
(954) 691-0834
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Miss Donna Campbell
Title
Director of Billling and Collection
Phone
(954) 691-0856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1900 Corporate Square Blvd
Jacksonville, FL 32216-1941

Mailing address

1100 Park Central Blvd S Ste 3400
Pompano Beach, FL 33064-2265
Phone (954) 691-0830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1992102891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARK CENTRAL BLVD S STE 3400",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642265",
            "telephone_number": "954-691-0830",
            "fax_number": "954-691-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CORPORATE SQUARE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161941",
            "telephone_number": "954-691-0830",
            "fax_number": "954-691-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NFAM PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLLING AND COLLECTION",
        "authorized_official_telephone_number": "954-691-0856",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.