South Beach Endocrine Wellness LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

OS12010 Issued in FL

Legal business name

SOUTH BEACH ENDOCRINE WELLNESS LLC

Practice address

1380 NE Miami Gardens Dr Ste 155
North Miami Beach, FL 33179-4747

Phone

(305) 431-2680

Fax

(305) 901-6238

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Scott Bleicher, DONPI 1053656561

Title

Chairman

Phone

(305) 431-2680

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Scott Bleicher, D.O., MPH

  • Endocrinology, Diabetes & Metabolism Physician
  • North Miami Beach, FL
  • NPI 1053656561
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1083139919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 155",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794747",
            "telephone_number": "305-431-2680",
            "fax_number": "305-901-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 155",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794747",
            "telephone_number": "305-431-2680",
            "fax_number": "305-901-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEACH ENDOCRINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BLEICHER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "305-431-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "OS12010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endocrinology.care",
            "affiliation": "N",
            "address_1": "1380 NE Miami Gardens Dr Ste 155",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331794747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sonia Sosa Galvez
• Isandra Sosa Nunez
• Nayibe Soto, LMHC
• Suyapa Soto
• South Beach Detox LLC
• South Core Solutions LLC
• South Florida Counseling and Consultants
• South Florida Family Counseling (Recovery-112)
• South Florida Geriatrics, Inc.
• South Florida Home Health Care Agency

• Endocrinology, Diabetes & Metabolism Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.