Active NPI
Sol MD Healthcare Centers
- Internal Medicine Physician
- Miami Gardens, FL
National Provider Identifier
1093195240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME89553
- Legal business name
- SOL MD HEALTHCARE CENTERS
- Practice address
- 17940 NW 27TH Ave
Miami Gardens, FL 33056-3505 - Phone
- (305) 621-8899
- NPI assigned
- Jun 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xunda A. Gibson, MD
- Title
- Medical Director
- Phone
- (305) 621-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME89553 | FL | Primary |
Addresses
Primary practice location
17940 NW 27TH Ave
Miami Gardens, FL 33056-3505
Mailing address
2436 N Federal Hwy Ste 229
Lighthouse Point, FL 33064-6854
Phone (561) 543-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021304900 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1101839 | Sol MD Healthcare Centers LLC | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1093195240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 N FEDERAL HWY STE 229",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646854",
"telephone_number": "561-543-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563505",
"telephone_number": "305-621-8899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOL MD HEALTHCARE CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "XUNDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-621-8899",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME89553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021304900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.