Aventura TMS, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AVENTURA TMS, PLLC

Practice address

21110 Biscayne Blvd Ste 304
Aventura, FL 33180-1229

Phone

(305) 932-5500

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Lee Pravder

Title

Officer

Phone

(305) 935-0616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1386267482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20533 BISCAYNE BLVD STE 4-503",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801229",
            "telephone_number": "305-932-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA TMS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "PRAVDER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-935-0616"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.