Organization Active NPI

Medmax Acupuncture LLC

  • Acupuncturist
  • Miramar, FL
National Provider Identifier
1225884232
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MEDMAX ACUPUNCTURE LLC
Practice address
12781 Miramar Pkwy Ste 206
Miramar, FL 33027-2908
Phone
(786) 907-5827
Fax
(954) 272-7179
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Mrs. Betty Lara-Cormier, APNPI 1588966634
Title
Acupuncturist
Phone
(954) 588-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

12781 Miramar Pkwy Ste 206
Miramar, FL 33027-2908

Mailing address

5197 SW 19TH St
West Park, FL 33023-3272
Phone (786) 907-5827

Other practice location 1

4212 W 16th Ave
Hialeah, FL 33012-7629
Phone (786) 907-5827

National Provider Directory

National Provider Directory

Locations

4212 W 16th Ave
Hialeah, FL 33012
Phone (305) 821-5525

950 E 49th St
Hialeah, FL 33013

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1225884232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5197 SW 19TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330233272",
            "telephone_number": "786-907-5827",
            "fax_number": "954-272-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY STE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "786-907-5827",
            "fax_number": "954-272-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127629",
            "country_code": "US",
            "telephone_number": "786-907-5827",
            "fax_number": "954-272-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDMAX ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "LARA-CORMIER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "954-588-7999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2024; 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.