Legion Park Medical Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

HCC6998 Issued in FL

Legal business name

LEGION PARK MEDICAL CENTER

Practice address

6630 Biscayne Blvd
Miami, FL 33138-6217

Phone

(305) 754-8966

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laura A Elizee

Title

Office Administrator

Phone

(305) 754-8966

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Yamila Akmuradova, PA-C

  • Physician Assistant
  • Coral Gables, FL
  • NPI 1548495773
  NPD (past)
• Jules A Cadet, M.D

  • Family Medicine Physician
  • Miami, FL
  • NPI 1639115371
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1134312770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386217",
            "telephone_number": "305-754-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGION PARK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "ELIZEE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "305-754-8966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "HCC6998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "K6954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Home Care Services, LLC Dba Granny Nannies
• Legacy Medical Center LLC
• Legacy Midwifery, LLC
• Legacy Vida Healthcare Agency LLC
• Nicholas Legido, PA-C
• Sofia Luisa Legler
• Mariam De la Caridad Legon Cabrera
• Marisol Legon Perez, LMT
• Enrique Antonio Legon Valdes, DDS
• Barbara Lidierkys Legon

• Preferred Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.