Active NPI
David Enterprises Group Inc
- Genetics Clinic/Center
- Doral, FL
National Provider Identifier
1003560053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetics Clinic/Center
- Legal business name
- DAVID ENTERPRISES GROUP INC
- Practice address
- 3785 NW 82ND Ave Ste 209
Doral, FL 33166-6630 - Phone
- (407) 576-2576
- Fax
- (352) 204-1970
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margarita P Nieto Moreno, MD, MBA.
- Title
- Medical and Biochemical Geneticist
- Phone
- (786) 545-6132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetics Clinic/Center | 261QG0250X | Primary |
Addresses
Primary practice location
3785 NW 82ND Ave Ste 209
Doral, FL 33166-6630
Mailing address
1155 Wildmeadow Run
Winter Park, FL 32792-3036
Phone (786) 545-6132
Other names 1
- David Medical
National Provider Directory
National Provider DirectoryLocations
3785 NW 82nd Ave
Ste 209
Doral, FL 33166
Phone (407) 576-2576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1003560053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 WILDMEADOW RUN",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923036",
"telephone_number": "786-545-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 NW 82ND AVE STE 209",
"city": "DORAL",
"state": "FL",
"postal_code": "331666630",
"telephone_number": "407-576-2576",
"fax_number": "352-204-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID ENTERPRISES GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "NIETO MORENO",
"authorized_official_first_name": "MARGARITA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MEDICAL AND BIOCHEMICAL GENETICIST",
"authorized_official_telephone_number": "786-545-6132",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MBA."
},
"taxonomies": [
{
"code": "261QG0250X",
"taxonomy_group": "",
"desc": "Clinic/Center, Genetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "David Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.