NPIMap

Organization Active NPI

VMFL Medical Centers LLC

Doing business as VivaMas Medical Center Kendall

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1053020958
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VMFL MEDICAL CENTERS LLC
Doing business as
VivaMas Medical Center Kendall
Practice address
8601 SW 124TH Ave
Miami, FL 33183-4601
Phone
(305) 537-4111
Fax
(305) 675-0231
NPI assigned
Nov 18, 2022
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VMFL MEDICAL CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Mr. Dean Serure
Title
President
Phone
(786) 894-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8601 SW 124TH Ave
Miami, FL 33183-4601

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 894-6358

Other names 1

  • VivaMas Medical Center Kendall Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308001945 FL Part B Supplier - Clinic/Group Practice 6103299326 Receives reassigned benefits from 32 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pembroke Pines, FL; Miami, FL; Hialeah, FL; Homestead, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2278550VMFL Medical Centers LLC Dba8601 SW 124TH Ave, Miami, FL 33183Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
VMFL Medical Centers LLC5 organizations share this tax ID, including this one
Part of
VMFL Medical Centers LLC

Other organizations with this tax ID 4

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

Locations

9980 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 334-3151

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1053020958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-894-6358",
            "fax_number": "833-778-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SW 124TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834601",
            "telephone_number": "305-537-4111",
            "fax_number": "305-675-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMFL MEDICAL CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VMFL MEDICAL CENTERS LLC",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "SERURE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-894-6358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VivaMas Medical Center Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.