DENTAL GROUP OF SOUTH FLORIDA IV (NPI# 1477085983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477085983 |
| Entity Type | Organization |
| Organization Name | DENTAL GROUP OF SOUTH FLORIDA IV |
| Practice Address |
11373 Sw 211th St Ste 10-11 Miami FL 33189-2245 |
| Practice Telephone | 3055423197 |
| Practice Fax Number | 7867130959 |
| Mailing Telephone | 3055423197 |
| Mailing Fax Number | 7867130959 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | ROLANDO BELLO (VP) |
| Authorized Official Telephone | 3055423197 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN17638 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076710700 | 05 |
| Street Address |
11373 SW 211TH ST STE 10-11 |
| City | MIAMI |
| State | FL |
| Zip Code | 33189-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185910 | Maritza Gonzalez | Massage Therapist | 11255 Sw 211th Street, Miami, FL 33189 | 2019-07-12 |
| 1093292617 | Marlen Hernandez | Behavior Technician | 21340 S Sw 112 Ave, 201, Miami, FL 33189 | 2018-07-26 |
| 1811487705 | Innovative Minds Aba | Behavioral Analyst | 8848 Sw 211th Ln, Cutler Bay, FL 33189 | 2018-05-16 |
| 1750871828 | Patricia Yassa | Optometrist | 20505 S Dixie Hwy Ste 559, Cutler Bay, FL 33189 | 2018-05-15 |
| 1447751748 | Asline Charles-marc I | Behavioral Analyst | 20872 Sw 90 Pl, Cutler Bay, FL 33189 | 2018-02-22 |
| 1982115713 | Licet Dorta | Assistant Behavior Analyst | 9234 Sw 211th Ln, Cutler Bay, FL 33189 | 2017-10-19 |
| 1447774765 | Alexandra M Berlus | Behavior Technician | 8405 Sw 197th Terrace, Cutler Bay, FL 33189 | 2017-07-28 |
| 1710400577 | Nirmala Gokool | Behavior Technician | 1000 Bahama Drive, Miami, FL 33189 | 2017-07-24 |
| 1720500630 | Yusanny Gonzalez Cuadra | Behavior Technician | 8852 Sw 209th Terr, Miami, FL 33189 | 2017-07-12 |
| 1720500671 | The Therapy Company | Community/Behavioral Health | 9241 Sw 212th Terrace, Cutler Bay, FL 33189 | 2017-07-12 |
| Find all providers in zip 33189 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| 1912511361 | Brickell Dentistry Pa | Clinic/Center | 444 Brickell Ave Ste 48, Miami, FL 33131-2403 | 2020-09-03 |
| 1700498466 | Tamar Justin | Clinic/Center | 261 Nw 149th St, Miami, FL 33168-4215 | 2020-08-23 |
| 1912517871 | Smiling Dental Studio Corp | Clinic/Center | 825 Sw 87th Ave Ste 2g, Miami, FL 33174-3253 | 2020-08-05 |
| 1578172763 | Flavio A Kottar Dds, P.a. | Clinic/Center | 3683 S Miami Ave Ste 305, Miami, FL 33133-4253 | 2020-07-24 |
| 1083237903 | Juan Diego Cardenas Dds Inc. | Clinic/Center | 7775 Sw 87th Ave Ste 112, Miami, FL 33173-2536 | 2020-05-27 |
| 1275181315 | Floridental Clinic | Clinic/Center | 9240 Sw 72nd St Ste 115, Miami, FL 33173-3262 | 2019-09-02 |
| 1902453756 | Smile Mission, Pllc | Clinic/Center | 9900 Sw 168th St, Miami, FL 33157-4378 | 2019-08-26 |
| 1548728223 | I & S Dental Services, Inc. | Clinic/Center | 8950 Sw 74th Ct Ste 1202, Miami, FL 33156-3170 | 2019-03-12 |
| Find all providers in MIAMI | ||||
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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.