Faith Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FAITH MEDICAL CLINIC LLC

Practice address

845 NW 119TH St
Suite B
North Miami, FL 33168-2336

Phone

(305) 685-8001

Fax

(305) 685-8024

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Shataria Bridges-Moss

Title

Office Manager

Phone

(305) 685-8001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1548567191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NW 119TH ST",
            "address_2": "SUITE B",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682336",
            "telephone_number": "305-685-8001",
            "fax_number": "305-685-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NW 119TH ST",
            "address_2": "SUITE B",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682336",
            "telephone_number": "305-685-8001",
            "fax_number": "305-685-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "BRIDGES-MOSS",
        "authorized_official_first_name": "SHATARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-685-8001"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa L. Exley
• Sussel Exposito Rubio
• Farlah Extra-Phanor, RN
• Michelle Miller Fackler, APRN
• Sylvan Fain, DDS
• Falcon Behavioral Institute LLC
• Graciela Falkon de Cababie, PA
• Family Social Services LLC
• Family Well Home Care LLC
• Olubisi Faoye, RDN, CHES

• General Practice Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.