Savico Medical Associates, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS8579 Issued in FL

Legal business name

SAVICO MEDICAL ASSOCIATES, INC.

Practice address

18356 NW 47TH Ave
Miami Gardens, FL 33055-2934

Phone

(305) 974-5750

Fax

(305) 757-4443

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Comfort Omobola Adewumi, D.O.

Title

President/Physician Director/Owner

Phone

(305) 757-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Savico Medical Center Doing business as

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1154611036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17439 NW 66TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154431",
            "telephone_number": "305-974-5750",
            "fax_number": "305-757-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 NW 47TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552934",
            "telephone_number": "305-974-5750",
            "fax_number": "305-757-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVICO MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "ADEWUMI",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_middle_name": "OMOBOLA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN DIRECTOR/OWNER",
        "authorized_official_telephone_number": "305-757-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS8579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275310300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savico Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.