NPIMap

Organization Active NPI

Doctors United Group Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1164071544
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOCTORS UNITED GROUP INC
Practice address
2150 W 76TH St Ste 100
Hialeah, FL 33016-1882
Phone
(954) 294-4493
Fax
(954) 530-5263
NPI assigned
Sep 9, 2019
Organization subpart
Yes
Parent organization
DOCTORS UNITED GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Augustine Carborn
Title
Executive Director
Phone
(305) 603-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2150 W 76TH St Ste 100
Hialeah, FL 33016-1882

Mailing address

3215 NW 10TH Ter Ste 209B
Fort Lauderdale, FL 33309-5934
Phone (954) 530-3586

Other names 1

  • DOCTORS UNITED GROUP, INC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2195831Doctors United Group Inc2150 W 76TH St Ste 100, Hialeah, FL 33016Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Doctor United Group Inc16 organizations share this tax ID, including this one
Part of
Doctor United Group Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

2150 W 76th St
Ste 100
Hialeah, FL 33016
Phone (786) 655-0529

3215 NW 10th Ter
Ste 209B
Oakland Park, FL 33309
Phone (954) 530-3586

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1164071544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NW 10TH TER STE 209B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095934",
            "telephone_number": "954-530-3586",
            "fax_number": "954-530-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 76TH ST STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161882",
            "telephone_number": "954-294-4493",
            "fax_number": "954-530-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS UNITED GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS UNITED GROUP INC",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "CARBORN",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-603-8200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS UNITED GROUP, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.