Active NPI
Personalized Healthcare Innovations LLC
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1386476836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PERSONALIZED HEALTHCARE INNOVATIONS LLC
- Practice address
- 14058 SW 120TH CT
Miami, FL 33186-6063 - Phone
- (305) 315-6882
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Eckstein
- Title
- Owner
- Phone
- (407) 377-5484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14058 SW 120TH CT
Miami, FL 33186-6063
Mailing address
14058 SW 120TH CT
Miami, FL 33186-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1386476836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14058 SW 120TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14058 SW 120TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866063",
"telephone_number": "305-315-6882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONALIZED HEALTHCARE INNOVATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "ECKSTEIN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-377-5484"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.