Organization Active NPI

Family Medical Inc.

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1992927149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL INC.
Practice address
7975 West Ncnab Road
Tamarac, FL 33321
Phone
(954) 720-6338
Fax
(954) 720-6559
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sonja Nadene Kerr, M.D.NPI 1811997083
Title
Owner
Phone
(954) 720-6338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7975 West Ncnab Road
Tamarac, FL 33321

Mailing address

4630 N University Dr
PMB 316
Coral Springs, FL 33067-4626
Phone (954) 720-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000564 FL Part B Supplier - Clinic/Group Practice 8224175401 Receives reassigned benefits from 1 practitioner
Practice locations: Tamarac, FL

National Provider Directory

National Provider Directory

Locations

4613 N University Dr
Coral Springs, FL 33067
Phone (305) 970-3193

4630 N University Dr
Coral Springs, FL 33067
Phone (954) 720-6338

7975 W McNab Rd
Tamarac, FL 33321
Phone (954) 720-6338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992927149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 N UNIVERSITY DR",
            "address_2": "PMB 316",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674626",
            "telephone_number": "954-720-6338",
            "fax_number": "954-720-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 WEST NCNAB ROAD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-720-6338",
            "fax_number": "954-720-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "NADENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-720-6338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.