ASSOCIATESMD MEDICAL GROUP INC (NPI# 1073141156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073141156 |
| Entity Type | Organization |
| Organization Name | ASSOCIATESMD MEDICAL GROUP INC |
| Practice Address |
2004 N Flamingo Rd Pembroke Pines FL 33028-3500 |
| Mailing Address |
4780 Sw 64th Ave Ste 103 Davie FL 33314-4400 |
| Practice Telephone | 9544508500 |
| Practice Fax Number | 9544508502 |
| Mailing Telephone | 9544341705 |
| Mailing Fax Number | 8006422398 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | LUIS FELIPE LAFRATTA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9544341705 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSOCIATESMD MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2122 Nw 62nd St Ste 110, Fort Lauderdale, FL 333091866 | 9543533180 | 9543533185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558900472 | Associatesmd Medical Group Inc | Family Medicine | 4780 Sw 64th Ave Ste 101, Davie, FL 33314-4400 | 2019-12-23 |
| Street Address |
2004 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780789891 | Carlos Gustavo Levy | Family Medicine | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2006-09-13 |
| 1861903742 | Ritesh Suresh Patel | Physician Assistant | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2017-10-18 |
| 1154858538 | Associates In Family Practice of Broward LLC | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028 | 2017-05-17 |
| 1386925360 | Southgate Administrative Services LLC | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2011-09-02 |
| 1235258443 | Joseph A Wilson Sr. | Physician Assistant | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033565379 | Cano Medical Dental | Clinic/Center | 1531 Nw 92nd Ave, Pembroke Pines, FL 33024-4605 | 2016-05-05 |
| 1467786608 | Pines Urgent Care Medical Center | Clinic/Center | 192 S Flamingo Rd, Pembroke Pines, FL 33027-1768 | 2009-09-21 |
| 1154858538 | Associates In Family Practice of Broward LLC | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028 | 2017-05-17 |
| 1750713905 | Md Now Medical Centers, Inc. | Clinic/Center | 9650 Pines Blvd, Pembroke Pines, FL 33024-6241 | 2013-07-30 |
| 1033462247 | Palm Springs Pediatric Associates of Florida LLC | Clinic/Center | 302 Nw 179th Ave, Suite 103, Pembroke Pines, FL 33029-2818 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.