PHYSICIAN SERVICE ORGANIZATION (NPI# 1891012472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891012472 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN SERVICE ORGANIZATION |
| Practice Address |
9425 Sw 72nd St Suite 211 Miami FL 33173-3251 |
| Mailing Address |
9425 Sw 72ns Street Suite 211 Miami FL 33173 |
| Practice Telephone | 3052631090 |
| Practice Fax Number | 3052631091 |
| Mailing Telephone | 3052631090 |
| Mailing Fax Number | 3052631091 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | MR. JOEL LAGO (PRESIDENT) |
| Authorized Official Telephone | 3052631090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | FL | Managed Care Organizations |
| Street Address |
9425 SW 72ND ST SUITE 211 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235175290 | Carol Jean Delaney | Psychologist | 9425 Sw 72nd St, Ste 265, Miami, FL 33173-5457 | 2006-06-20 |
| 1619415049 | Dani Kaplan | Speech-Language Pathologist | 9425 Sw 72nd St, #261, Miami, FL 33173-3251 | 2017-02-06 |
| 1073051603 | Ana Moore | Speech-Language Pathologist | 9425 Sw 72nd St, #261, Miami, FL 33173-3251 | 2017-02-02 |
| 1609227347 | Maria Caballero | Specialist/Technologist | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2016-06-23 |
| 1750759908 | Gabriela Serna | Speech-Language Pathologist | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2015-09-04 |
| 1053705749 | Hearing and Speech Center of Florida | Clinic/Center | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2015-03-20 |
| 1225436793 | Natali Padura | Specialist/Technologist | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2014-12-15 |
| 1538409560 | Deborah Darby Hutchins | Speech-Language Pathologist | 9425 Sw 72nd St, 261, Miami, FL 33173-3251 | 2013-02-28 |
| 1083962211 | Ashley Jane Skogstad | Specialist/Technologist | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2012-08-20 |
| 1467713719 | Anaid Romero | Speech-Language Pathologist | 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 | 2012-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1356825574 | Doctors Choice Managment Service Inc. | Exclusive Provider Organization | 12750 Sw 189th St, Miami, FL 33177-3724 | 2018-09-24 |
| 1679082309 | Quality Care Partners LLC | Exclusive Provider Organization | 13818 Sw 152nd St # 387, Miami, FL 33177-1164 | 2017-09-26 |
| 1588188445 | Partners In Health Care Management LLC | Exclusive Provider Organization | 13818 Sw 152 Street, 387, Miami, FL 33186 | 2017-08-01 |
| 1912435264 | Southeast Physician Associates 1, LLC. | Exclusive Provider Organization | 10621 N Kendall Dr Ste 211, Miami, FL 33176-1530 | 2017-05-31 |
| 1750833919 | Icare Health Solutions | Exclusive Provider Organization | 7352 Nw 34 St, Miami, FL 33122-1266 | 2016-11-03 |
| 1508242876 | Dade County Dental Research Center | Exclusive Provider Organization | 750 Nw 20th St # G-110, Miami, FL 33127-4618 | 2015-08-10 |
| 1225413115 | Professional Healhcare Management Group, LLC | Exclusive Provider Organization | 6341 Sw 16th Ter, Miami, FL 33155-1905 | 2015-07-21 |
| 1306243381 | Gentle Care Medical Center | Exclusive Provider Organization | 8000 West Flagler St, Suite 206, Miami, FL 33144 | 2014-11-19 |
| 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.