Organization Active NPI

Medisun 62 Medical Center LLC

  • Case Manager/Care Coordinator
  • Miami, FL
National Provider Identifier
1184404923
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MEDISUN 62 MEDICAL CENTER LLC
Practice address
180 NW 62ND St
Miami, FL 33150-4543
Phone
(786) 350-5583
Fax
(786) 364-1979
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Alexis Schloeter
Title
Authorized Official
Phone
(786) 350-5583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

180 NW 62ND St
Miami, FL 33150-4543

Mailing address

180 NW 62ND St
Miami, FL 33150-4543
Phone (786) 350-5583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1184404923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-350-5583",
            "fax_number": "786-364-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-350-5583",
            "fax_number": "786-364-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISUN 62 MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SCHLOETER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-350-5583"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.