Filoli Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FILOLI INC

Practice address

434 SW 12TH Ave Ste 205
Miami, FL 33130-2432

Phone

(786) 391-0269

Fax

(786) 391-1694

NPI assigned

Feb 2, 2019

Organization subpart

No

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

Authorized official

Name

Anton Fetkulov

Title

Practice Manager

Phone

(786) 391-0269

Specialties & licenses 1

Addresses

Other names 1

• Mango Clinic Doing business as

Locations

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1295290310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302432",
            "telephone_number": "786-391-0269",
            "fax_number": "786-391-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302432",
            "telephone_number": "786-391-0269",
            "fax_number": "786-391-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILOLI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "FETKULOV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "786-391-0269"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mango Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Filiberto J Herdocia DDS Associates PA
• Raisa Filion
• Fill-a-Script Pharmacy
• Alyssa Filliben, PA-C
• Courtney Filliben, MD
• Christie Fils-Aime
• Jean Fils-Aime
• Final Touch Therapy Center Corp
• Ediliana Finale Alonso
• Alina Finale Sanchez

• 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 Feb 2, 2019; 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.