Millennium Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS-06734 Issued in FL

Legal business name

MILLENNIUM PEDIATRICS

Practice address

13155 SW 42ND St Ste 106
Miami, FL 33175-3428

Phone

(305) 554-1110

Fax

(305) 554-1455

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ann Mary Fernandez, MD

Title

President

Phone

(305) 554-1110

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1386823409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 SW 42ND ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753428",
            "telephone_number": "305-554-1110",
            "fax_number": "305-554-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 42ND ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753428",
            "telephone_number": "305-554-1110",
            "fax_number": "305-554-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-554-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS-06734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G12847",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "OS-06734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millennium Community Mental Health Center Inc
• Millennium Diagnostic Imaging Center, Inc
• Millennium Diagnostic Imaging Center, Inc
• Millennium Medical & Treatment Center
• Millennium Medical Equipment, Inc.
• Millennium Radiology LLC
• Millennium Rehab Center Inc
• Millennium RX Inc
• Millennium Therapy Center
• Millennium Therapy Center Inc

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.