Organization Active NPI

Lite LLC

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1487984365
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME26578 Issued in FL
Legal business name
LITE LLC
Practice address
8603 S Dixie Hwy
Suite 411
Miami, FL 33143-7807
Phone
(305) 595-4681
Fax
(305) 273-9584
NPI assigned
Dec 28, 2009
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Albert L Ray, MDNPI 1659370096
Title
Medical Director
Phone
(305) 595-4681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME26578 FL Primary

Addresses

Primary practice location

8603 S Dixie Hwy
Suite 411
Miami, FL 33143-7807

Mailing address

8603 S Dixie Hwy
Suite 411
Miami, FL 33143-7807
Phone (305) 595-4681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140113001179 FL Part B Supplier - Clinic/Group Practice 4789812074 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Lite LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12985 SW 130th Ct
Unit 212
Miami, FL 33186
Phone (305) 595-4681

8603 S Dixie Hwy
Ste 411
Pinecrest, FL 33156
Phone (305) 595-4681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1487984365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 S DIXIE HWY",
            "address_2": "SUITE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437807",
            "telephone_number": "305-595-4681",
            "fax_number": "305-273-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 S DIXIE HWY",
            "address_2": "SUITE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437807",
            "telephone_number": "305-595-4681",
            "fax_number": "305-273-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-595-4681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME26578",
            "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 Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.