State Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME14277 Issued in FL

Legal business name

STATE MEDICAL CENTER INC

Practice address

6955 NW 77TH Ave Ste 306
Miami, FL 33166-2846

Phone

(305) 206-1603

NPI assigned

Apr 18, 2014

Last updated

Apr 18, 2014By 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

Mrs. Kaly Castellanos, LMT

Title

President

Phone

(305) 206-1603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1467872317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 NW 77TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662846",
            "telephone_number": "305-206-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 NW 77TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662846",
            "telephone_number": "305-206-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "KALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-206-1603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME14277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.