Organization Active NPI

Tarek Medical LLC

  • Primary Care Clinic/Center
  • Sunny Isles Beach, FL
National Provider Identifier
1326517152
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TAREK MEDICAL LLC
Practice address
17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307
Phone
(305) 974-5933
NPI assigned
Nov 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Maher Nana, MD
Title
Owner
Phone
(305) 974-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307

Mailing address

17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307
Phone (305) 974-5933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1326517152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307",
            "telephone_number": "305-974-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307",
            "telephone_number": "305-974-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "NANA",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-974-5933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.