Premier OBGYN of South Florida PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER OBGYN OF SOUTH FLORIDA PLLC

Practice address

8145 NW 155TH St Ste B
Miami Lakes, FL 33016-5872

Phone

(305) 698-5300

Fax

(305) 698-5302

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Pando, MDNPI 1437323219

Title

Owner

Phone

(305) 698-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premier OBGYN of South Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier OBGYN of South Florida PLLC

  • Specialist
  • Hialeah, FL
  • NPI 1588838361
  NPD tax ID

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Jorge Pando, M.D. FACOG

  • Specialist
  • Miami Lakes, FL
  • NPI 1437323219
  NPD Authorized official
• Juan Antonio Casanova Hidalgo, FNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
  • NPI 1881292217
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407372840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST STE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "305-698-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST STE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "305-698-5300",
            "fax_number": "305-698-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OBGYN OF SOUTH FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-698-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000165000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prana ABA Therapy LLC
• Precious Minds Therapy Center LLC
• Preferred Plus Home Healthcare Inc
• Preferred Specialist Network LLC
• Preferred Therapy Center Inc
• Premier Rehabilitation Group, LLC
• Premier Touch Nurse Registry LLC
• Premium Healthcare Holdings, LLLP
• Premium Provider Services LLC
• Prestige Diagnostic Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.