Active NPI
Psa Pediatric Nephrology
- Pediatric Nephrology Physician
- Miami, FL
National Provider Identifier
1477901916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- Legal business name
- PSA PEDIATRIC NEPHROLOGY
- Practice address
- 3200 SW 60TH CT
Suite 304
Miami, FL 33155-4000 - Phone
- (305) 662-8352
- Fax
- (305) 669-6545
- NPI assigned
- May 25, 2016
- 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
- Rebecca France
- Title
- Administrative Director, RCM
- Phone
- (786) 624-5715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | Primary |
Addresses
Primary practice location
3200 SW 60TH CT
Suite 304
Miami, FL 33155-4000
Mailing address
3200 SW 60TH CT
Suite 304
Miami, FL 33155-4000
Phone (305) 662-8352
National Provider Directory
National Provider Directory- Tax ID family
- Psa Pediatric Nephrology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Naples, FL
- NPI 1124488127
Locations
3200 SW 60th Ct
Ste 304
Miami, FL 33155
Phone (305) 662-8352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1477901916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-662-8352",
"fax_number": "305-669-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-662-8352",
"fax_number": "305-669-6545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSA PEDIATRIC NEPHROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "FRANCE",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR, RCM",
"authorized_official_telephone_number": "786-624-5715"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.