Organization Active NPI

South Beach Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Doral, FL
National Provider Identifier
1508015264
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME86206 Issued in FL
Legal business name
SOUTH BEACH GYNECOLOGY INC
Practice address
3900 NW 79TH Ave
#575
Doral, FL 33166-6556
Phone
(305) 285-6999
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Gerald Brian Applegate, MD
Title
Medical Director
Phone
(305) 285-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME86206 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave
#575
Doral, FL 33166-6556

Mailing address

2101 Brickell Ave
2806
Miami, FL 33129-2128
Phone (305) 285-6999

National Provider Directory

National Provider Directory

Locations

3900 NW 79th Ave
Ste 575
Doral, FL 33166
Phone (305) 285-6999

2525 SW 75th Ave
Miami, FL 33155
Phone (305) 260-1852

8603 S Dixie Hwy
Ste 100
Pinecrest, FL 33156
Phone (305) 591-2288

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1508015264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BRICKELL AVE",
            "address_2": "2806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292128",
            "telephone_number": "305-285-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "#575",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-285-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEACH GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-285-6999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME86206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.