Physician Access Group, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PHYSICIAN ACCESS GROUP, LLC

Practice address

655 NW 119TH St
North Miami, FL 33168-2522

Phone

(305) 403-2219

Fax

(786) 517-3391

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rudolph Moise, D.O.

Title

President/Ceo

Phone

(305) 403-2219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1184872178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-403-2219",
            "fax_number": "786-517-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-403-2219",
            "fax_number": "786-517-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ACCESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-403-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majerry Philius, PA-C
• Keegan Phillips
• Phoenix Clinic, Inc.
• Phoenix Clinic, Inc.
• Physical Therapy Experts Inc
• Physician Access Urgent Care Group, LLC
• Physicians Group of South Florida PA
• Vanessa Pierre-Louis, RPH, CPH
• Gerardine Pierre
• Guirlande Pierre

• Contractor in North Miami, FL
• Providers in North Miami, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.