Jazmin Surgical & Skin Care Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC6015 Issued in FL

Legal business name

JAZMIN SURGICAL & SKIN CARE CENTER INC

Practice address

2140 W Flagler St
Suite 107
Miami, FL 33135-5600

Phone

(305) 642-0005

Fax

(305) 642-8380

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Myriam Lavielle, MASSAGE THERAPIST

Title

Owner

Phone

(305) 642-0005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154473403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355600",
            "telephone_number": "305-642-0005",
            "fax_number": "305-642-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355600",
            "telephone_number": "305-642-0005",
            "fax_number": "305-642-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZMIN SURGICAL & SKIN CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVIELLE",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-642-0005",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA CERTIFICATE",
            "identifier": "HCC6015",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.