Miavip Medical Staffing,LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MIAVIP MEDICAL STAFFING,LLC

Practice address

7600 SW 87TH Ave
Miami, FL 33173-3601

Phone

(954) 800-7350

Fax

(954) 827-0852

NPI assigned

Mar 21, 2019

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Barack, MD

Title

Owner

Phone

(954) 800-7350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1184184673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 CORAL RIDGE DR # 170",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763300",
            "telephone_number": "954-800-7350",
            "fax_number": "954-827-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733601",
            "telephone_number": "954-800-7350",
            "fax_number": "954-827-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAVIP MEDICAL STAFFING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "BARACK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-800-7350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.