Active NPI
Olympus Medical Group
- Family Medicine Physician
- Virginia Gardens, FL
National Provider Identifier
1427961960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OLYMPUS MEDICAL GROUP
- Practice address
- 6405 NW 36TH St Ste 111
Virginia Gardens, FL 33166-6977 - Phone
- (305) 504-6364
- Fax
- (305) 509-6276
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yovany Gongora, APRN
- Title
- Owner
- Phone
- (786) 660-1844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
6405 NW 36TH St Ste 111
Virginia Gardens, FL 33166-6977
Mailing address
6405 NW 36TH St Ste 111
Virginia Gardens, FL 33166-6977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Virginia Gardens, FL
- NPI 1962140434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1427961960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 NW 36TH ST STE 111",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331666977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NW 36TH ST STE 111",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331666977",
"telephone_number": "305-504-6364",
"fax_number": "305-509-6276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPUS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "GONGORA",
"authorized_official_first_name": "YOVANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-660-1844",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Gardens, FL
- NP Care Vip LLC
- Ocas Therapy Center Inc.
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Roxana Ofarill Gallardo, RBT
- Okantomi Medical Supplies, Inc
- Optima Medical Supplies, Corp.
- Orlando Medical Inc
- Jose Angel Ortiz Maza, BMO
- Outstanding Home Health Care, Inc.
- Jaclyn Michelle Pacetti, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.