The Selem Center, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME103925 Issued in FL

Legal business name

THE SELEM CENTER, LLC

Practice address

814 Ponce de Leon Blvd Ste 510
Coral Gables, FL 33134-3035

Phone

(305) 444-0221

Fax

(305) 444-0223

NPI assigned

Oct 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Selem, MDNPI 1003131939

Title

Preseident

Phone

(305) 444-0221

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Selem Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Selem Center, LLC

  • Ophthalmology Physician
  • Coral Gables, FL
  • NPI 1336450006
  NPD tax ID
• The Selem Center, LLC

  • Ophthalmology Physician
  • Coral Gables, FL
  • NPI 1982050134
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

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.

• Joseph Selem, M.D.

  • Ophthalmology Physician
  • Coral Gables, FL
  • NPI 1003131939
  NPD (past) Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437669330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD STE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343035",
            "telephone_number": "305-444-0221",
            "fax_number": "305-444-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD STE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343035",
            "telephone_number": "305-444-0221",
            "fax_number": "305-444-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SELEM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELEM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "305-444-0221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME103925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002524200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Ophthalmology Physician 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.