Medamax Mso LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDAMAX MSO LLC

Practice address

9730 NE 2ND Ave
Miami Shores, FL 33138-2311

Phone

(305) 758-7979

Fax

(305) 758-0034

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Alan Dorne

Title

President

Phone

(305) 933-1230

Specialties & licenses 1

Addresses

Tax ID family

Medamax Mso LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medamax Mso, LLC

  • Contractor
  • North Miami, FL
  • NPI 1013340637
  NPD tax ID

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1285997882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "305-758-7979",
            "fax_number": "305-758-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "305-758-7979",
            "fax_number": "305-758-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMAX MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "DORNE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-933-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medi Partners Healthcare Clinics
• Medi Partners of South Florida, LLC
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• Medsolcollins LLC
• James Francis Mennes

• Specialist in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.