Organization Active NPI

Ponsol North Shore, LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1124773684
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PONSOL NORTH SHORE, LLC
Practice address
1190 NW 95TH St Ste 105
Miami, FL 33150-2064
Phone
(305) 615-2637
Fax
(786) 446-8707
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Peter Joseph
Title
President
Phone
(305) 615-2637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1190 NW 95TH St Ste 105
Miami, FL 33150-2064

Mailing address

7801 SW 125TH St
Pinecrest, FL 33156-6058

Other names 1

  • Ponsol Health Doing business as

National Provider Directory

National Provider Directory

Locations

1190 NW 95th St
Ste 105
Miami, FL 33150
Phone (305) 615-2637

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1124773684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 SW 125TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-615-2637",
            "fax_number": "786-446-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONSOL NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-615-2637"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponsol Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponsol Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.