Florida Potomac Health P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FLORIDA POTOMAC HEALTH P.C.

Practice address

1110 Brickell Ave Ste 400
Miami, FL 33131-3135

Phone

(860) 558-7027

NPI assigned

Oct 3, 2022

Organization subpart

Yes

Parent organization

POTOMAC HEALTH P.C.As reported in NPPES

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

Authorized official

Name

Jay A Kimmel

Title

Physician President

Phone

(860) 728-6740

Specialties & licenses 1

Addresses

Part of

Potomac Health PC

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1083338115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313135",
            "telephone_number": "860-558-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Brickell Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331313135",
            "country_code": "US",
            "telephone_number": "860-558-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA POTOMAC HEALTH P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC HEALTH P.C.",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "860-728-6740"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Personal Management LLC
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• Florida Pharmacy & Discount Corp
• Florida Physician Resource Network, LLC
• Florida Podiatry Group PA
• Florida Prosthetics & Orthotics, Inc
• Florida PT and Rehabilitation,Inc
• Florida Recovery Professionals, Inc.
• Florida Recovery Professionals, Inc.
• Florida Reference Laboratory Inc

• Orthopaedic Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.