NPIMap

Organization Active NPI

MSMC Interventional, LLC

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1417715491
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MSMC INTERVENTIONAL, LLC
Practice address
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone
(305) 674-2071
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mervyn Mills
Title
Sr VP of Finance
Phone
(305) 674-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893

Mailing address

PO Box 10550
Miami, FL 33101-0550

National Provider Directory

National Provider Directory
Tax ID family
MSMC Interventional LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4302 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 531-6766

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1417715491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331010550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-674-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSMC INTERVENTIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_title_or_position": "SR VP OF FINANCE",
        "authorized_official_telephone_number": "305-674-2121"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.