Prime South Florida P.a Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

PA9100183 Issued in FL

Legal business name

PRIME SOUTH FLORIDA P.A INC.

Practice address

11285 SW 211TH St Ste 205
Miami, FL 33189-2211

Phone

(305) 378-9968

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Lismelys Trujillo Gama, LMT

Title

President

Phone

(305) 378-9968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1568890523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-378-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-378-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SOUTH FLORIDA P.A INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO GAMA",
        "authorized_official_first_name": "LISMELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-378-9968",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "PA9100183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Metabolic Health
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• Prime Pediatric Therapy LLC
• Prime Psychological Services
• Prime Service Networks of Florida
• Prime Support Care Inc
• Prime Surgical Care LLC
• Prime Time ABA Therapy Inc
• Primecare Medical Solutions Inc
• Primecare Renal Group LLC

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.