Phy-Med Millenium Medical LC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 29633 Issued in FL

Legal business name

PHY-MED MILLENIUM MEDICAL LC

Practice address

351 NW 42ND Ave
Suite 103
Miami, FL 33126-5683

Phone

(305) 642-1246

Fax

(305) 631-1419

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Gustavo G Leon, M.D.

Title

Medical Director

Phone

(305) 642-1246

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Carla Rabassa, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1659313385
  NPD (past)
• Axel Luis Mercado, PA C

  • Physician Assistant
  • Wilson, NC
  • NPI 1578594065
  NPD (past)
• Luis M Serrano, P.A.

  • Medical Physician Assistant
  • Iowa City, IA
  • NPI 1578622957
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1396787024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 PINES BLVD",
            "address_2": "SUITE 23",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247355",
            "telephone_number": "954-967-0107",
            "fax_number": "954-967-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-1246",
            "fax_number": "305-631-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHY-MED MILLENIUM MEDICAL LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-642-1246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 29633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Psychsolutions LLC
• Phoenix Rehab Center Corp
• Phoenix Wellness Center LLC
• Phu H Nguyen DPM PA
• Phul Medical Services Corp
• Phycare Network LLC
• Phyllis Skolnik MD PA
• Physiatric Wellness Rehab Institute Inc
• Physiatry Phirst LLC
• Physical Occupational and Sport Rehabilitation Center

• Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.