Medamax, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

408555-1 Issued in FL

Legal business name

MEDAMAX, LLC

Practice address

550 NE 125TH St
North Miami, FL 33161-4755

Phone

(305) 733-3571

NPI assigned

Jun 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. Alan Dorne

Title

Managing Partner

Phone

(305) 733-3577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1043470073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 BISCAYNE BLVD",
            "address_2": "SUITE 601",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812735",
            "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": "550 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614755",
            "telephone_number": "305-733-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "DORNE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-733-3577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "408555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in North Miami, FL
• Providers in North 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 Jul 15, 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.