NPIMap

Organization Active NPI

FXM Clinical Research Miramar

  • Research Clinic/Center
  • Miramar, FL
National Provider Identifier
1518446400
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
License
PA9110219 Issued in FL
Legal business name
FXM CLINICAL RESEARCH MIRAMAR
Practice address
14601 SW 29TH St Ste 208
Miramar, FL 33027-4714
Phone
(954) 430-1097
Fax
(305) 675-3152
NPI assigned
Aug 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Maritza D. Diego, PA-CNPI 1700365814
Title
Chief Executive Officer
Phone
(954) 430-1097

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
Research Clinic/Center 261QR1100X PA9110219 FL Primary

Addresses

Primary practice location

14601 SW 29TH St Ste 208
Miramar, FL 33027-4714

Mailing address

14601 SW 29TH St Ste 208
Miramar, FL 33027-4714
Phone (954) 430-1097

National Provider Directory

National Provider Directory

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": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1518446400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 208",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274714",
            "telephone_number": "954-430-1097",
            "fax_number": "305-675-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 208",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274714",
            "telephone_number": "954-430-1097",
            "fax_number": "305-675-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FXM CLINICAL RESEARCH MIRAMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "DIEGO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-430-1097",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "FL",
            "license": "PA9110219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.