Organization Active NPI

Samuels Pediatrics Florida, PLLC

  • Pediatrics Physician
  • Miami Lakes, FL
National Provider Identifier
1427691989
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAMUELS PEDIATRICS FLORIDA, PLLC
Practice address
14505 Commerce Way Ste 800
Miami Lakes, FL 33016-1599
Phone
(954) 412-2026
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Dr. Martel Samuels, MDNPI 1760793566
Title
President
Phone
(954) 412-2026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

14505 Commerce Way Ste 800
Miami Lakes, FL 33016-1599

Mailing address

9065 Watercrest Cir E
Parkland, FL 33076-2850
Phone (954) 412-2026

National Provider Directory

National Provider Directory

Practitioners & 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": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1427691989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762850",
            "telephone_number": "954-412-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY STE 800",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161599",
            "telephone_number": "954-412-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS PEDIATRICS FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-412-2026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.