PNS of Florida I

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PNS OF FLORIDA I

Practice address

8323 NW 12TH St
Suite 115
Doral, FL 33126-1829

Phone

(305) 284-7484

Fax

(305) 667-8860

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ron Johnson

Title

President

Phone

(305) 284-7484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1083032148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST",
            "address_2": "SUITE 115",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261829",
            "telephone_number": "305-284-7484",
            "fax_number": "305-667-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST",
            "address_2": "SUITE 115",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261829",
            "telephone_number": "305-284-7484",
            "fax_number": "305-667-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNS OF FLORIDA I",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-284-7484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Doral, FL
• Providers in Doral, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.