Em Mso Group Corp.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

EM MSO GROUP CORP.

Practice address

5835 Blue Lagoon Dr Ste 300
Miami, FL 33126-6046

Phone

(305) 298-3272

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Javier Menendez

Title

Coo

Phone

(305) 298-3272

Specialties & licenses 3

Addresses

Other names 1

• Eastern Medical MSO Other name

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1306598669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 BLUE LAGOON DR STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266046",
            "telephone_number": "305-298-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 BLUE LAGOON DR STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266046",
            "telephone_number": "305-298-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM MSO GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-298-3272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Medical MSO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Eastern Medical MSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Maintenance Organization in Miami, FL
• Providers in Miami, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.