La-Salle Comprehensive,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

054187 Issued in FL

Legal business name

LA-SALLE COMPREHENSIVE,INC

Practice address

434 SW 12TH Ave Ste 103
Miami, FL 33130-2431

Phone

(786) 362-0444

Fax

(786) 362-0442

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

David Cheesman, D.O

Title

Doctor/Owner

Phone

(786) 362-0444

Specialties & licenses 1

Addresses

Tax ID family

La Salle Comprehensive Inc2 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.

• La Salle Comprehensive Inc

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1568763613
  NPD tax ID

Locations

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1295016749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302431",
            "telephone_number": "786-362-0444",
            "fax_number": "786-362-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302431",
            "telephone_number": "786-362-0444",
            "fax_number": "786-362-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA-SALLE COMPREHENSIVE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CHEESMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "786-362-0444",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "054187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Union Medical Center LLC
• La Vida En Rosa Adult Day Care Inc
• La Vida Es Bella Adult Day Care LLC
• La Vida Sigue Adult Day Care LLC
• Randy La Villa, SLP
• Christine Thao La, M.D.
• Young Min La, OTR
• Laar Corp
• Laar, Corp
• Lab District Inc.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.