Organization Active NPI

Bless Medical Center of NMB LLC

  • General Practice Physician
  • North Miami Beach, FL
National Provider Identifier
1265033823
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLESS MEDICAL CENTER OF NMB LLC
Practice address
1400 NE Miami Gardens Dr Ste 209
North Miami Beach, FL 33179-4844
Phone
(954) 864-6401
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Osvaldo Martinez
Title
Coo
Phone
(954) 864-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr Ste 209
North Miami Beach, FL 33179-4844

Mailing address

440 E Sample Rd Ste 107
Pompano Beach, FL 33064-4432
Phone (954) 864-6401

National Provider Directory

National Provider Directory

Locations

1400 NE Miami Gardens Dr
Ste 209
North Miami Beach, FL 33179
Phone (305) 944-0025

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1265033823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD STE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644432",
            "telephone_number": "954-864-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 209",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794844",
            "telephone_number": "954-864-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESS MEDICAL CENTER OF NMB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-864-6401"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.