Organization Active NPI

Myl Group Services Corp

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1265065528
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MYL GROUP SERVICES CORP
Practice address
7480 Fairway Dr Ste 208
Miami Lakes, FL 33014-6879
Phone
(669) 235-4347
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Mrs. Luna Wahnon Benayoun, ARNPNPI 1639611304
Title
Family Arnp
Phone
(786) 985-0685

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7480 Fairway Dr Ste 208
Miami Lakes, FL 33014-6879

Mailing address

1050 93Rd St Apt 5H
Bay Harbor Islands, FL 33154-2347
Phone (786) 985-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421003137 FL Part B Supplier - Clinic/Group Practice 0446680185 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2231856Myl Group Services Corp7480 Fairway Dr Suite 208, Miami Lakes, FL 33014Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

5801 NW 151st St
Ste 101
Miami Lakes, FL 33014
Phone (305) 828-7272

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21363/brand/1/csg/1/fhir/r4

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": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1265065528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 93RD ST APT 5H",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542347",
            "telephone_number": "786-985-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR STE 208",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "669-235-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYL GROUP SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "WAHNON BENAYOUN",
        "authorized_official_first_name": "LUNA",
        "authorized_official_title_or_position": "FAMILY ARNP",
        "authorized_official_telephone_number": "786-985-0685",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.