MIAMI VAMC (NPI# 1134168529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168529 |
| Entity Type | Organization |
| Organization Name | MIAMI VAMC |
| Other Organization Name | PEMBROKE VA CBOC |
| Practice Address |
7369 Sheridan St Suite 102 Hollywood FL 33024-2776 |
| Mailing Address |
Po Box 140793 Orlando FL 32814-0793 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pembroke VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043258940 | Miami Vamc | Clinic/Center | 1492 W Flagler St, Suite 102, Miami, FL 33135-2209 | 2006-06-03 |
| 1073565875 | Miami Vamc | Clinic/Center | 2100 Sw 10th St, Deerfield Beach, FL 33442-7690 | 2006-05-17 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1538106992 | Miami Vamc | Clinic/Center | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2006-06-02 |
| 1043266968 | Miami Vamc | Clinic/Center | 105662 Overseas Hwy, Key Largo, FL 33037-3010 | 2006-05-25 |
| 1588610406 | Miami Vamc | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2006-05-25 |
| 1366497737 | Miami Vamc | Clinic/Center | 950 N Krome Ave, Suite 401, Homestead, FL 33030-4400 | 2006-05-24 |
| 1003861071 | Miami Vamc | Clinic/Center | 3702 Washington St, Hollywood Pavilion, Suite 201, Hollywood, FL 33021-8282 | 2006-05-24 |
| 1467402263 | Miami Vamc | General Acute Care Hospital | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-11 |
| 1255389144 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-04 |
| Street Address |
7369 SHERIDAN ST SUITE 102 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782926 | Brian M Gotkin | Internal Medicine | 7369 Sheridan St, Suite 302, Hollywood, FL 33024-2776 | 2005-10-04 |
| 1881153674 | Kidney Health Specialists LLC | Internal Medicine | 7369 Sheridan St, Hollywood, FL 33024-2776 | 2019-03-19 |
| 1174539985 | Sunrise Sleep Diagnostics Inc | Clinic/Center | 7369 Sheridan St, Suite 302 B, Hollywood, FL 33024-2776 | 2006-08-01 |
| 1952317778 | Sunrise Pulmonary Group Inc | Internal Medicine | 7369 Sheridan St, Suite 302, Hollywood, FL 33024-2776 | 2006-08-01 |
| 1881635175 | Richard P Mccombs | Audiologist | 7369 Sheridan St, Suite 102, Hollywood, FL 33024-2776 | 2006-06-09 |
| 1730176728 | Steven B Gittler | Internal Medicine | 7369 Sheridan St, Ste 302, Hollywood, FL 33024-2776 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003861071 | Miami Vamc | Clinic/Center | 3702 Washington St, Hollywood Pavilion, Suite 201, Hollywood, FL 33021-8282 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
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| 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.