FLORIDA MEDICAL CENTER GROUP, INC. (NPI# 1396002929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396002929 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CENTER GROUP, INC. |
| Practice Address |
1501 Nw 36 St Miami FL 33142-9998 |
| Mailing Address |
1501 Nw 36th St Miami FL 33142-5559 |
| Practice Telephone | 7863788200 |
| Practice Fax Number | 3059075299 |
| Mailing Telephone | 7863788200 |
| Mailing Fax Number | 3059075299 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | MRS. MADELAINE SOUTO (CEO) |
| Authorized Official Telephone | 7863788200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562446 | Florida Medical Center Group, Inc. | Clinic/Center | 50 Nw 15th St, Homestead, FL 33030-4266 | 2019-08-02 |
| Street Address |
1501 NW 36 ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33142-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932408648 | Liliam Hernandez Md Pa | Family Medicine | 15380 Sw 57th Ter, Miami, FL 33193-2515 | 2011-03-21 |
| 1336271527 | Variety Children's Hospital | Family Medicine | 17615 Sw 97 Ave, Miami, FL 33157-5636 | 2007-03-12 |
| 1245326123 | Lorena Siqueira | Family Medicine | 3100 Sw 62nd Ave, Adolescent Medicine Dept., Miami, FL 33155-3009 | 2006-10-05 |
| 1497783740 | Quy Vinh | Family Medicine | 16555 Nw 25th Ave, Miami, FL 33054 | 2006-06-28 |
| 1851358287 | Judith L Schaechter | Family Medicine | 1601 Nw 12 Ave, M851, Miami, FL 33101-6960 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1720117690 | Parmanand Vijay Poonai | Family Medicine | 103 Sunset Cir, Port St Joe, FL 32456-2115 | 2007-03-05 |
| 1114032109 | Carl F Dennison | Family Medicine | 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 | 2006-08-20 |
| 1508970989 | Rita Garulli Chidiac | Family Medicine | 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 | 2006-08-19 |
| 1871524181 | Deborah Anne Weyer | Family Medicine | 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 | 2006-07-05 |
| 1164472627 | Harold Silberman | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-12 |
| 1144212135 | Orlon Vere Carr IIi | Family Medicine | 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 | 2005-08-17 |
| 1063028850 | Carline Grand-pierre | Family Medicine | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2020-09-17 |
| 1912462771 | Parabrahma Pa | Family Medicine | 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 | 2019-02-06 |
| 1861963563 | Alba Lucia Ceballos | Family Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-12-07 |
| 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.