PMC Jackson South, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PMC JACKSON SOUTH, LLC

Practice address

9380 SW 150TH St Ste 100
Miami, FL 33176-7979

Phone

(305) 253-2665

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Spencer Angel

Title

MNG MBR

Phone

(305) 868-7180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Cavanaugh, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1679525836
  NPD (past)

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1043469232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 500",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812544",
            "telephone_number": "305-868-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 150TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767979",
            "telephone_number": "305-253-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC JACKSON SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MNG MBR",
        "authorized_official_telephone_number": "305-868-7180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207R00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Pluviose, RN
• PM Medical Center, Inc
• PM&R Mireda Martinez Sanchez, MD, PA
• PMC at Home, LLC
• PMC FB Management, LLC
• PMC Kendall, LLC
• PMC Medical Center, Inc.
• PMC Medical Management, LLC
• PMC Mso Management, LLC
• PMC North Shore, LLC

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.