Active NPI
New Life Medical Institute Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1487611844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NEW LIFE MEDICAL INSTITUTE INC
- Practice address
- 861 SW 8TH St
Miami, FL 33130-3703 - Phone
- (305) 857-9800
- Fax
- (305) 857-9802
- NPI assigned
- Apr 28, 2006
- 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
- Mr. George Michailos
- Title
- President
- Phone
- (305) 857-9800
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME28831 | FL | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME51394 | FL | |
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
861 SW 8TH St
Miami, FL 33130-3703
Mailing address
861 SW 8TH St
Miami, FL 33130-3703
Phone (305) 857-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278171900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
861 SW 8th St
Miami, FL 33130
Phone (305) 857-9800
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1487611844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303703",
"telephone_number": "305-857-9800",
"fax_number": "305-857-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303703",
"telephone_number": "305-857-9800",
"fax_number": "305-857-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE MEDICAL INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "MICHAILOS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-857-9800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME28831",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME51394",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278171900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- New Life Medical & Rehab Center, Inc
- New Life Medical Center Inc
- New Life Medical Group Inc
- New Life Medical Institute Inc
- New Life Medical Institute Inc
- New Life Medical Institute Inc
- New Life Medical Rehab Inc
- New Life Medical Transportation Inc.
- New Life Medical Wellness Center Inc
- New Life Mental Health Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.