Organization Active NPI

DMR Podiatric Medicine & Surgery LLC

  • Foot & Ankle Surgery Podiatrist
  • Miramar, FL
National Provider Identifier
1225339237
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3446 Issued in FL
Legal business name
DMR PODIATRIC MEDICINE & SURGERY LLC
Practice address
1725 SW 101 Way
Miramar, FL 33025-6537
Phone
(754) 422-6750
Fax
(754) 367-7750
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Dominique M Rameau, DPM
Title
Manager
Phone
(754) 422-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3446 FL Primary

Addresses

Primary practice location

1725 SW 101 Way
Miramar, FL 33025-6537

Mailing address

1725 SW 101St Way
Miramar, FL 33025-6537
Phone (754) 422-6750

Other identifiers 1

IdentifierTypeStateIssuer
002849500MedicaidFL

National Provider Directory

National Provider Directory

Locations

2261 N University Dr
Ste 201
Pembroke Pines, FL 33024
Phone (954) 558-5836

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1225339237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SW 101ST WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256537",
            "telephone_number": "754-422-6750",
            "fax_number": "954-367-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SW 101 WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256537",
            "telephone_number": "754-422-6750",
            "fax_number": "754-367-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMR PODIATRIC MEDICINE & SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "RAMEAU",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-422-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002849500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.