USCG CLINIC AIR STATION MIAMI (NPI# 1760928923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760928923 |
| Entity Type | Organization |
| Organization Name | USCG CLINIC AIR STATION MIAMI |
| Practice Address |
14750 Nw 44th Ct Opa Locka FL 33054-2304 |
| Practice Telephone | 7576284363 |
| Mailing Telephone | 7576284363 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DEBRA FITZGERALD (HSWL SC) |
| Authorized Official Telephone | 7576284363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
14750 NW 44TH CT |
| City | OPA LOCKA |
| State | FL |
| Zip Code | 33054-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166463 | James B. Amster | Technician, Other | 14750 Nw 44th Ct, Opa Locka Airport, Opa Locka, FL 33054-2304 | 2005-12-23 |
| 1154465649 | Michelle Diane Foster-dumm | Military Health Care Provider | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2007-02-16 |
| 1720160302 | Shannon Lee Fleming | Technician, Other | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2006-10-20 |
| 1083795793 | Paul T. Michaud | Pharmacist | 14750 Nw 44th Ct, Attn Pharmacy Lcdr Michaud, Opa Locka, FL 33054-2304 | 2006-10-18 |
| 1649361197 | Amanda Jean Earnest | Technician, Other | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2006-09-28 |
| 1346331790 | Jeniffer Diaz | Technician, Other | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2006-09-28 |
| 1659462562 | William Stanley Perry | Technician, Other | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2006-09-27 |
| 1720091960 | Edgardo Alicea | Family Medicine | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2006-08-15 |
| 1427077866 | Stanley Kirk Gordon | Dentist | 14750 Nw 44th Ct, Coast Guard Air Station Miami, Opa Locka, FL 33054-2304 | 2006-07-18 |
| 1922085869 | Christine Aguirre-peveto | Technician, Other | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2005-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
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| 1326553280 | Branch Medical Clinic Mayport | Clinic/Center | 2130 Mayport Rd, Jacksonville, FL 32233-2753 | 2017-12-13 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
| 1558907873 | Uscg Clinic St Petersburg | Clinic/Center | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2019-11-21 |
| 1053826917 | Branch Medical Clinic Key West | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2017-12-13 |
| 1104331065 | Branch Medical Clinic Jacksonville | Clinic/Center | 964 Ajax St, Jacksonville, FL 32214-0001 | 2017-12-13 |
| 1710206727 | Uscg Key West Clinic | Clinic/Center | 100 Trumbo Rd, Key West, FL 33040-6655 | 2010-06-01 |
| 1164679601 | Martin Army Community Hospital | Clinic/Center | 6069 Walkers Ln, Tmc 12 Camp Rudder, Eglin Afb, FL 32542-8505 | 2008-08-27 |
| 1114117173 | Branch Medical Clinic Panama City | Clinic/Center | 6703 W Highway 98, Panama City, FL 32407-7000 | 2007-07-26 |
| 1376733527 | Branch Medical Clinic Nattc | Clinic/Center | 760 East Ave, Pensacola, FL 32508-5140 | 2007-07-25 |
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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.