Florida Bay Associates LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME34257 Issued in FL

Legal business name

FLORIDA BAY ASSOCIATES LLC

Practice address

8785 SW 165TH Ave
Suite #301
Miami, FL 33193-5826

Phone

(305) 457-9333

NPI assigned

Feb 15, 2009

Organization subpart

No

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

Authorized official

Name

Daniel F Mandri, MDNPI 1013966704

Title

Owner

Phone

(305) 457-9333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Daniel F Mandri, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1013966704
  Medicare reassignment Care Compare group NPD Authorized official
• Katia Calleja, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1366109860
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1184863128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 SW 94TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567303",
            "telephone_number": "305-457-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 SW 165TH AVE",
            "address_2": "SUITE #301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935826",
            "telephone_number": "305-457-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BAY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-15",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "MANDRI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-457-9333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME34257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.