Carevantage Medical Centers of Miami at Civic Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, LLC

Practice address

1433 NW 13TH Ter
Miami, FL 33125-2607

Phone

(305) 324-7900

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Robert Thorne

Title

Owner

Phone

(305) 324-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1114294097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 NW 13TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252607",
            "telephone_number": "305-324-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 NW 13TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252607",
            "telephone_number": "305-324-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-324-7900"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.