Family Medical Clinic NM LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FAMILY MEDICAL CLINIC NM LLC

Practice address

11077 Biscayne Blvd Ste 303
Miami, FL 33161-7498

Phone

(786) 796-5010

NPI assigned

Dec 10, 2020

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lizsandra Rodriguez

Title

President

Phone

(305) 603-7824

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1578169710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617498",
            "telephone_number": "786-796-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-603-7824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@thefamilymedgroup.com",
            "affiliation": "Y",
            "affiliationName": "Family Medical Clinic Kendall LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11077 Biscayne Blvd Ste 303",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331617498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in 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 Jan 6, 2021; 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.