Active NPI
Premium Medical Services Group Inc
- Clinic/Center
- Miami, FL
National Provider Identifier
1023409455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME106914
- Legal business name
- PREMIUM MEDICAL SERVICES GROUP INC
- Practice address
- 2423 SW 147TH Ave
Suite # 375
Miami, FL 33185-4082 - Phone
- (786) 529-6375
- Fax
- (786) 504-9671
- NPI assigned
- Feb 6, 2015
- 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
- Shahab Hyder, MD
- Title
- Medical Doctor
- Phone
- (786) 529-6375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME106914 | FL | Primary |
Addresses
Primary practice location
2423 SW 147TH Ave
Suite # 375
Miami, FL 33185-4082
Mailing address
2423 SW 147TH Ave
Suite # 375
Miami, FL 33185-4082
Phone (786) 529-6375
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1023409455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 SW 147TH AVE",
"address_2": "SUITE # 375",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854082",
"telephone_number": "786-529-6375",
"fax_number": "786-504-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 SW 147TH AVE",
"address_2": "SUITE # 375",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854082",
"telephone_number": "786-529-6375",
"fax_number": "786-504-9671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM MEDICAL SERVICES GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "HYDER",
"authorized_official_first_name": "SHAHAB",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "786-529-6375",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "ME106914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.