Medserve of Dade County

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15239 Issued in FL

Legal business name

MEDSERVE OF DADE COUNTY

Practice address

15328 NW 7TH Ave
Miami, FL 33169

Phone

(786) 235-0103

Fax

(305) 681-5620

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jacob Vaks

Title

Owner

Phone

(305) 610-3450

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1003008129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15328 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-235-0103",
            "fax_number": "305-681-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15328 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-235-0103",
            "fax_number": "305-681-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSERVE OF DADE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "VAKS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-610-3450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 77467",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medrite Primary LLC
• Medscape Home Health Care Inc.
• Medscripts Coral Way Dispensary
• Medsearch, Inc.
• Medserv Direct, Inc.
• Medsource Consultants LLC
• Medstar of Florida Corporation
• Medstar Wellness Inc
• Medtech Medical Equipment, LLC.
• Medtrust Network, Inc

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.