Organization Active NPI

Emmanuela Wolloch, MD, PA

  • Obstetrics & Gynecology Physician
  • Miami Beach, FL
National Provider Identifier
1487960944
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59103 Issued in FL
Legal business name
EMMANUELA WOLLOCH, MD, PA
Practice address
400 Arthur Godfrey Rd
Suite 305
Miami Beach, FL 33140-3516
Phone
(305) 531-7130
Fax
(305) 531-0794
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Emmanuela Wolloch
Title
President
Phone
(305) 531-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 59103 FL Primary

Addresses

Primary practice location

400 Arthur Godfrey Rd
Suite 305
Miami Beach, FL 33140-3516

Mailing address

400 Arthur Godfrey Rd
Suite 305
Miami Beach, FL 33140-3516
Phone (305) 531-7130

National Provider Directory

National Provider Directory

Locations

1801 NE 123rd St
Ste 415
North Miami, FL 33181
Phone (305) 935-8775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1487960944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD",
            "address_2": "SUITE 305",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-531-7130",
            "fax_number": "305-531-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD",
            "address_2": "SUITE 305",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-531-7130",
            "fax_number": "305-531-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUELA WOLLOCH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "WOLLOCH",
        "authorized_official_first_name": "EMMANUELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-531-7130"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "59103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.