Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Primary Care Practitioners of South Florida, Inc

Organization General Practice Physician · NPI 1356679989

Primary Care Practitioners of South Florida, Inc provides General Practice Physician services in Hallandale Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 NE 2nd Ave
Hallandale Beach, FL 33009-4212 Not confirmed with CMS for 16 years — call before visiting
Phone: (954) 894-0522
Fax: (954) 964-1244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME0049240 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ARNP1714142 (FL)
General Practice Physician Taxonomy 208D00000X · Licence OS0001922 (FL)
General Practice Physician Taxonomy 208D00000X · Licence OS0007497 (FL)

Record details

NPI number1356679989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivory Christen — Vice President · (954) 894-0522
NPI enumeratedNovember 19, 2009
Last updated in NPPESNovember 19, 2009
Mailing addressPo Box 4110, Hallandale, FL 33008-4110

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