Active NPI
Michael P Pacin, MD
- Allergy & Immunology Physician
- Palmetto Bay, FL
National Provider Identifier
1003879073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME19305
- Practice address
- 14411 S Dixie Hwy Ste 223
Palmetto Bay, FL 33176-7900 - Phone
- (305) 255-4868
- Fax
- (305) 255-4922
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME19305 | FL | Primary |
Addresses
Primary practice location
14411 S Dixie Hwy Ste 223
Palmetto Bay, FL 33176-7900
Mailing address
11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808
Other practice location 1
9035 Sunset Dr
Suite 202
Miami, FL 33173-3441
Phone (305) 223-8808 ext. 404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71789Z | Other | FL | MEDICARE |
| 054370500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME19305 | FL | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003879073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 SW 40TH ST",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753584",
"telephone_number": "305-223-8808",
"fax_number": "305-223-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14411 S DIXIE HWY STE 223",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331767900",
"telephone_number": "305-255-4868",
"fax_number": "305-255-4922"
}
],
"practiceLocations": [
{
"address_1": "9035 Sunset Dr",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331733441",
"country_code": "US",
"telephone_number": "305-223-8808 x404",
"fax_number": "305-223-8974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACIN",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME19305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "71789Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054370500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.