NPIMap

Organization Active NPI

Florida Medical Center Group, Inc.

  • Clinic/Center
  • Homestead, FL
National Provider Identifier
1013562446
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLORIDA MEDICAL CENTER GROUP, INC.
Practice address
50 NW 15TH St
Homestead, FL 33030-4266
Phone
(786) 886-1030
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Madelaine Souto, AO
Title
Ceo
Phone
(786) 378-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

50 NW 15TH St
Homestead, FL 33030-4266

Mailing address

1501 NW 36TH St
Miami, FL 33142-5559
Phone (786) 378-8200

Other names 1

  • Florida Medical Center Group, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Florida Medical Center Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

50 NW 15th St
Homestead, FL 33030
Phone (786) 397-4636

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1013562446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425559",
            "telephone_number": "786-378-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NW 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304266",
            "telephone_number": "786-886-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL CENTER GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "SOUTO",
        "authorized_official_first_name": "MADELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-378-8200",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Medical Center Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.