ATLANTIC SOUTH MEDICAL GROUP INCORPORATED (NPI# 1114275427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114275427 |
| Entity Type | Organization |
| Organization Name | ATLANTIC SOUTH MEDICAL GROUP INCORPORATED |
| Practice Address |
2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 |
| Mailing Address |
Po Box 909 Hallandale FL 33008-0909 |
| Practice Telephone | 3059317424 |
| Practice Fax Number | 3059317425 |
| Mailing Telephone | 3059317424 |
| Mailing Fax Number | 3059317425 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | VOLRICK MORRISON (PHYSICIAN) |
| Authorized Official Telephone | 3059317424 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007960400 | 05 |
| Street Address |
2925 AVENTURA BLVD SUITE 101 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417665 | Mark Steven Nestor | Dermatology | 2925 Aventura Blvd, Ste 205, Aventura, FL 33180-3108 | 2005-06-20 |
| 1538657523 | Daniel Fischer | General Practice | 2925 Aventura Blvd, Aventura, FL 33180-3124 | 2018-04-25 |
| 1063866614 | Genesis Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2016-04-20 |
| 1982006102 | Ketevan Vladi Pllc | Clinic/Center | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2014-09-18 |
| 1831443621 | Ob/gyn Advanced Care Corp | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 302, Aventura, FL 33180-3124 | 2012-11-01 |
| 1396075057 | Remberto Santos | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 302, Aventura, FL 33180-3124 | 2009-12-31 |
| 1467695544 | Silvia Stambler | Dentist | 2925 Aventura Blvd, Suite 309 Silvia Stambler Dds, Aventura, FL 33180 | 2009-04-20 |
| 1750521571 | Ketevan Vladi | Internal Medicine | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2009-03-06 |
| 1669611711 | Volrick Darrell Morrison | Internal Medicine | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2009-02-12 |
| 1477728228 | Fredda Rosenbaum | Dentist | 2925 Aventura Blvd, Suite # 201, Aventura, FL 33180-3124 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619900735 | Biscayne Institutes for Health and Living Inc | Clinic/Center | 2785 Ne 183rd St, Suite 100, Aventura, FL 33160-2171 | 2006-07-09 |
| 1205447596 | Integrative Nutrition Therapeutics, LLC. | Clinic/Center | 3580 Mystic Pointe Dr Ste 1b, Aventura, FL 33180-2554 | 2020-08-11 |
| 1205345626 | Nexus Medical Center of Aventura, LLC | Clinic/Center | 20803 Biscayne Blvd Ste 202, Aventura, FL 33180-1429 | 2017-09-28 |
| 1659805687 | Path Medical, LLC | Clinic/Center | 18999 Biscayne Blvd, Suite 201, Aventura, FL 33180-2814 | 2017-04-17 |
| 1053764829 | Palm Medical Center - Aventura, LLC | Clinic/Center | 16241 Biscayne Blvd, Aventura, FL 33160-4300 | 2016-07-18 |
| 1588010052 | Hope Diagnostic, LLC | Clinic/Center | 2999 Ne 191st St, Suite 608, Aventura, FL 33180-3123 | 2016-05-13 |
| 1184014276 | Elias Milgram M.d. L.L.C. | Clinic/Center | 2875 Ne 191st St, Suite 604, Aventura, FL 33180-2801 | 2015-01-28 |
| 1295158483 | Health By Choice Florida | Clinic/Center | 17971 Biscayne Blvd, 216, Aventura, FL 33160-2578 | 2014-01-24 |
| 1437594330 | Aventura Center for Dental Sleep Medicine, Inc | Clinic/Center | 2627 Ne 203rd St, Suite 212, Aventura, FL 33180-1900 | 2013-05-06 |
| 1225050180 | Lifetime of Aventura | Clinic/Center | 21150 Biscayne Blvd, Suite 302, Aventura, FL 33180-1226 | 2006-07-23 |
| Find all providers in AVENTURA | ||||
Please comment or provide details below to improve the information on ATLANTIC SOUTH MEDICAL GROUP INCORPORATED.
| 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.