NPIMap

Organization Active NPI

Medamax Mso, LLC

  • Contractor
  • North Miami, FL
National Provider Identifier
1013340637
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MEDAMAX MSO, LLC
Practice address
12555 Biscayne Blvd
Suite 480
North Miami, FL 33181-2522
Phone
(305) 733-3577
Fax
(305) 933-1021
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Mr. Alan Dorne
Title
President
Phone
(305) 733-3577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

12555 Biscayne Blvd
Suite 480
North Miami, FL 33181-2522

Mailing address

12555 Biscayne Blvd
Suite 480
North Miami, FL 33181-2522
Phone (305) 733-3577

National Provider Directory

National Provider Directory
Tax ID family
Medamax Mso LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1013340637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 BISCAYNE BLVD",
            "address_2": "SUITE 480",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812522",
            "telephone_number": "305-733-3577",
            "fax_number": "305-933-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 BISCAYNE BLVD",
            "address_2": "SUITE 480",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812522",
            "telephone_number": "305-733-3577",
            "fax_number": "305-933-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMAX MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "DORNE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-733-3577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.