Organization Active NPI

Doctors Alliance Group

Doing business as So FL Multispecialty Associate

  • Multi-Specialty Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1174961833
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DOCTORS ALLIANCE GROUP
Doing business as
So FL Multispecialty Associate
Practice address
400 W 41St St
103
Miami Beach, FL 33140-3516
Phone
(305) 695-0644
Fax
(305) 532-1612
NPI assigned
Jun 4, 2013
Organization subpart
Yes
Parent organization
DOCTORS ALLIANCE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Miguel Isaac Garcia, M.D., MBA
Title
Ceo & President
Phone
(305) 695-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X FL Primary

Addresses

Primary practice location

400 W 41St St
103
Miami Beach, FL 33140-3516

Mailing address

400 W 41St St
201
Miami Beach, FL 33140-3516
Phone (305) 695-0644

Other identifiers 1

IdentifierTypeStateIssuer
262022700MedicaidFL

Other names 1

  • So FL Multispecialty Associate Doing business as

National Provider Directory

National Provider Directory
Part of
Doctors Alliance Group

Locations

400 W 41st St
Ste 201
Miami Beach, FL 33140

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1174961833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST",
            "address_2": "201",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-695-0644",
            "fax_number": "305-532-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST",
            "address_2": "103",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-695-0644",
            "fax_number": "305-532-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ALLIANCE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS ALLIANCE GROUP",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "305-695-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262022700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "So FL Multispecialty Associate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.