Healthcare Provider Details

I. General information

NPI: 1386176295
Provider Name (Legal Business Name): PRIORITY 1 MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N FEDERAL HWY STE 201
POMPANO BEACH FL
33062-1022
US

IV. Provider business mailing address

2000 N FEDERAL HWY STE 201
POMPANO BEACH FL
33062-1022
US

V. Phone/Fax

Practice location:
  • Phone: 561-618-8001
  • Fax: 954-960-5642
Mailing address:
  • Phone: 561-618-8001
  • Fax: 954-960-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME14359
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME42167
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License NumberME42167
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberME42167
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberACN97
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME14359
License Number StateFL

VIII. Authorized Official

Name: MS. ANNA J CUARTAS
Title or Position: MANAGER
Credential:
Phone: 561-618-8001