Service Dade County Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SERVICE DADE COUNTY INC

Practice address

8900 SW 24TH St
Suite 209
Miami, FL 33165-2075

Phone

(305) 221-9650

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Ihovanys Castillo

Title

Owner

Phone

(305) 221-9650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053426924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 24TH ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-221-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 24TH ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-221-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DADE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "IHOVANYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-221-9650"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.