Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Practitioners of South Florida, Inc

Organization General Practice Physician · NPI 1356679989

Primary Care Practitioners of South Florida, Inc is a General Practice Physician 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
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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