Personalized Medicine Institute, LLC.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PERSONALIZED MEDICINE INSTITUTE, LLC.

Practice address

4765 SW 148TH Ave Ste 404
Davie, FL 33330-2128

Phone

(203) 300-0147

Fax

(954) 634-4293

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Maximo Jose Fernandez, MDNPI 1215119185

Title

Ceo

Phone

(954) 552-7209

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maximo Jose Fernandez, MD

  • Cardiovascular Disease Physician
  • Davie, FL
  • NPI 1215119185
  Medicare reassignment Care Compare group NPD Authorized official
• Gabriella Bonfante, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1760188726
  Medicare reassignment Care Compare group
• Bryan Gonzalez, PA-C

  • Physician Assistant
  • Davie, FL
  • NPI 1104688563
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1376011551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 VOLUNTEER RD STE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302128",
            "telephone_number": "954-374-7545",
            "fax_number": "954-374-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 SW 148TH AVE STE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302128",
            "telephone_number": "203-300-0147",
            "fax_number": "954-634-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED MEDICINE INSTITUTE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-552-7209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "ME107216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie N Perillo
• Luis Rafael Perozo, CBHCMS
• Personal Touch Home Care of Florida, Inc
• Personal Touch Home Care of Florida, Inc.
• Personal Touch Home Care of Florida, Inc.
• Nicole Pertierra
• Alexis Pester
• Peter Reiter DC PA
• Ashley Peter
• Anthony John Peters

• Cardiovascular Disease Physician in Davie, FL
• Providers in Davie, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.