Organization Active NPI

Health Florida Service Inc.

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1033537618
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME 17907 Issued in FL
Legal business name
HEALTH FLORIDA SERVICE INC.
Practice address
2140 W Flagler St Ste 208a
Miami, FL 33135-1642
Phone
(786) 261-6935
Fax
(305) 541-1736
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Manuel A Fernandez, M.D
Title
Medical Doctor
Phone
(786) 261-6935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME 17907 FL Primary

Addresses

Primary practice location

2140 W Flagler St Ste 208a
Miami, FL 33135-1642

Mailing address

2140 W Flagler St Ste 208a
Miami, FL 33135-1642
Phone (786) 261-6935

Other identifiers 1

IdentifierTypeStateIssuer
ME 17907OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

National Provider Directory

National Provider Directory

Locations

2140 W Flagler St
Ste 208A
Miami, FL 33135
Phone (786) 261-6935

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1033537618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST STE 208A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351642",
            "telephone_number": "786-261-6935",
            "fax_number": "305-541-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST STE 208A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351642",
            "telephone_number": "786-261-6935",
            "fax_number": "305-541-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FLORIDA SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "786-261-6935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME 17907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "ME 17907",
            "state": "FL"
        }
    ],
    "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 Apr 4, 2014; 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.