NPIMap

Organization Active NPI

Doctors United Group Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1063973121
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOCTORS UNITED GROUP INC
Practice address
1498 NW 54TH St Unit C
Miami, FL 33142-3911
Phone
(305) 206-6196
NPI assigned
Mar 29, 2019
Organization subpart
Yes
Parent organization
DOCTOR UNITED GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Augustine Carbone
Title
Administrator
Phone
(305) 206-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1498 NW 54TH St Unit C
Miami, FL 33142-3911

Mailing address

1498 NW 54TH St Unit C
Miami, FL 33142-3911
Phone (305) 603-8200

Other practice location 1

4210 W 16th Ave Ste C
Hialeah, FL 33012-7629
Phone (305) 206-6196

Other practice location 2

3215 NW 10th Ter Ste 209B
Fort Lauderdale, FL 33309-5934
Phone (954) 530-3586

Other names 1

  • DOCTOR UNITED GROUP, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctor United Group Inc16 organizations share this tax ID, including this one
Part of
Doctor United Group Inc

Other organizations with this tax ID 15

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

View all 15

Locations

4210 W 16th Ave
Ste C
Hialeah, FL 33012
Phone (305) 206-6196

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1063973121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 NW 54TH ST UNIT C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423911",
            "telephone_number": "305-603-8200",
            "fax_number": "305-603-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 NW 54TH ST UNIT C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423911",
            "telephone_number": "305-206-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 W 16th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127629",
            "country_code": "US",
            "telephone_number": "305-206-6196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 NW 10th Ter Ste 209B",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333095934",
            "country_code": "US",
            "telephone_number": "954-530-3586",
            "fax_number": "954-530-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS UNITED GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTOR UNITED GROUP, INC",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-206-6196"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR UNITED GROUP, INC",
            "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 Mar 29, 2019; 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.