Organization · Type 2 NPI

MD Family Medicine

Family Medicine Physician · Tamarac, FL

NPI number 1407778632 Active

Practice location

2851 W Prospect Rd Unit 201
Tamarac, FL 33309-2593

Mailing address

17640 Cantarina Cv
Lakewood Ranch, FL 34211-1127

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Home Health Agency 251E00000XNone listed
Community Based Hospice Care Agency 251G00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Voluntary or Charitable Agency 251V00000XNone listed
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Endoscopy Clinic/Center 261QE0800XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Prison Health Clinic/Center 261QP2400XNone listed
Pain Clinic/Center 261QP3300XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Recovery Care Clinic/Center 261QR0800XNone listed
Rural Health Clinic/Center 261QR1300XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1407778632

MD Family Medicine's National Provider Identifier is 1407778632, issued on Jul 28, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tamarac, FL. The record was last updated on Jul 28, 2026.