Organization Active NPI

Clarke Medical Services Inc

  • General Practice Physician
  • Virginia Gardens, FL
National Provider Identifier
1053353789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLARKE MEDICAL SERVICES INC
Practice address
6555 NW 36TH St
112
Virginia Gardens, FL 33166-6978
Phone
(305) 219-8593
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luz Sabogal
Title
President
Phone
(305) 219-8593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

6555 NW 36TH St
112
Virginia Gardens, FL 33166-6978

Mailing address

6555 NW 36TH St
112
Virginia Gardens, FL 33166-6978
Phone (305) 219-8593

National Provider Directory

National Provider Directory

Locations

6555 NW 36th St
Ste 112
Virginia Gardens, FL 33166
Phone (305) 219-8593

Practitioners & affiliated clinicians

Practitioners 1

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053353789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "112",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-219-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "112",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-219-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABOGAL",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-219-8593"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.