Active NPI
Corium Inc
- Physician Assistant
- Hialeah, FL
National Provider Identifier
1477813541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- CORIUM INC
- Practice address
- 4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100 - Phone
- (786) 237-7727
- NPI assigned
- May 23, 2012
- 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
- Shlomo Sprung
- Title
- Coo
- Phone
- (786) 237-7727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100
Mailing address
4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100
Other names 1
- corium group inc
National Provider Directory
National Provider DirectoryLocations
4410 W 16th Ave
Ste 62
Hialeah, FL 33012
Phone (786) 237-7727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1477813541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 62",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 62",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100",
"telephone_number": "786-237-7727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORIUM INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "SPRUNG",
"authorized_official_first_name": "SHLOMO",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "786-237-7727"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "corium group inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.