PSRA SIMON FAMILY HOLDING LLC (NPI# 1568891554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568891554 |
| Entity Type | Organization |
| Organization Name | PSRA SIMON FAMILY HOLDING LLC |
| Other Organization Name | SEAN SIMON PLASTIC SURGERY |
| Practice Address |
3850 Bird Rd Ste 201 Miami FL 33146-1515 |
| Practice Telephone | 3056680496 |
| Practice Fax Number | 3056680921 |
| Mailing Telephone | 3056680496 |
| Mailing Fax Number | 3056680921 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | SEAN A SIMON (PRESIDENT) |
| Authorized Official Telephone | 3056680496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ME91069 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sean Simon Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
3850 BIRD RD STE 201 |
| City | MIAMI |
| State | FL |
| Zip Code | 33146-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952896953 | Advanced Professional Surgical Services | Clinic/Center | 905 Nw 97th Ave Apt 308, Miami, FL 33172-2358 | 2018-06-22 |
| 1992250922 | Miami Surgical Suites LLC | Clinic/Center | 9035 Sunset Drive, Suite 200, Miami, FL 33173 | 2016-08-19 |
| 1811372931 | Surgeon's Cosmetic Center & Medspa LLC | Clinic/Center | 8585 Sunset Dr Ste 107, Miami, FL 33143-3746 | 2015-07-30 |
| 1811319692 | Miami Sunset Surgery Center,llc | Clinic/Center | 7190 Sw 87th Ave Ste 403, Miami, FL 33173-2512 | 2014-01-13 |
| 1659619807 | Kelly Wolf & Herman Md Pa | Clinic/Center | 8940 N Kendall Dr Ste 902e, Miami, FL 33176-2176 | 2013-01-23 |
| 1598071102 | Art & Science Surgi Center, Inc. | Clinic/Center | 35 Sw 36th Ct, Miami, FL 33135-1040 | 2010-08-20 |
| 1174844781 | Surgey Center of North Dade, LLC | Clinic/Center | 1395 Nw 167th St, Miami, FL 33169-5742 | 2010-06-17 |
| 1093985525 | Surgery Center of Coral Gables LLC | Clinic/Center | 2645 Douglas Rd, Ste 400, Miami, FL 33133-2744 | 2008-03-12 |
| 1831140151 | Asc Gamma Partners Ltd | Clinic/Center | 7600 Sw 87th Ave Ste 200, Miami, FL 33173-3635 | 2006-05-12 |
| 1194788182 | Surgical Park Center Ltd | Clinic/Center | 9065 Dadeland Blvd, Miami, FL 33156 | 2006-04-10 |
| 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.