NPIMap

Organization Active NPI

Palmetto Fertility Center of South Florida, Inc

  • Reproductive Endocrinology Physician
  • Hialeah, FL
National Provider Identifier
1528082120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
72801 Issued in FL
Legal business name
PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC
Practice address
7100 W 20TH Ave
Suite 205
Hialeah, FL 33016-1897
Phone
(305) 558-0808
Fax
(305) 558-0806
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael David Graubert, M.D.
Title
President
Phone
(305) 558-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 72801 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave
Suite 205
Hialeah, FL 33016-1897

Mailing address

7100 W 20TH Ave
Suite 205
Hialeah, FL 33016-1897
Phone (305) 558-0808

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Fert Ctrsouth Florida2 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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528082120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-558-0808",
            "fax_number": "305-558-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-558-0808",
            "fax_number": "305-558-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAUBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "72801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.