SOUTH BEACH ENDOCRINE WELLNESS LLC (NPI# 1083139919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083139919 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH ENDOCRINE WELLNESS LLC |
| Practice Address |
351 Nw 42nd Ave Ste 204 Miami FL 33126-5670 |
| Mailing Address |
400 S Pointe Dr Apt 1808 Miami Beach FL 33139-7360 |
| Practice Telephone | 3055702327 |
| Practice Fax Number | 3059016238 |
| Mailing Telephone | 3054312680 |
| Mailing Fax Number | 3059016238 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | DR. JEREMY SCOTT BLEICHER (CHAIRMAN) |
| Authorized Official Telephone | 3054312680 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
OS12010 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
351 NW 42ND AVE STE 204 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386005825 | Galeno Medical Group | Internal Medicine | 351 Nw 42nd Ave Ste 204, Miami, FL 33126-5670 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1386005825 | Galeno Medical Group | Internal Medicine | 351 Nw 42nd Ave Ste 204, Miami, FL 33126-5670 | 2016-03-11 |
| 1396154043 | Amy Wickstrom Hicks | Internal Medicine | 7801 Sw 50th Ct, Miami, FL 33143-6028 | 2014-08-07 |
| 1689913824 | Endoprime, LLC | Internal Medicine | 13055 Sw 42nd St Ste 105, Miami, FL 33175-3409 | 2013-02-07 |
| 1205123742 | Theresa Maria Collier | Internal Medicine | 14720 Jackson St, Miami, FL 33176-7450 | 2011-07-05 |
| 1558673368 | Irina C. Delgado Varela | Internal Medicine | 8501 Sw 124th Ave Ste 206, Miami, FL 33183-4633 | 2010-07-09 |
| 1801069893 | Anthony Ceniza Domingo | Internal Medicine | 1400 Ne Miami Gardens Dr Ste 104, Miami, FL 33179-4843 | 2008-04-10 |
| 1871791269 | Luis R Florez | Internal Medicine | 9233 Sw 136th Ter, Miami, FL 33176-6857 | 2007-07-06 |
| 1699977884 | Yanelis Martin | Internal Medicine | 8500 Sw 92nd St Ste 201, Miami, FL 33156-7379 | 2007-06-01 |
| 1265585442 | Moises Goldszmidt Md Pa | Internal Medicine | 1321 Nw 14 St Suite 407, Miami, FL 33125 | 2007-01-19 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on SOUTH BEACH ENDOCRINE WELLNESS LLC.
| 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.