NPIMap

Organization Active NPI

Volunteers of America of Florida, Inc

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1609442375
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
VOLUNTEERS OF AMERICA OF FLORIDA, INC
Practice address
1492 W Flagler St
Miami, FL 33135-2209
Phone
(786) 369-1876
Fax
(786) 502-2889
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Randall Mark Burgan
Title
Chief Operating Officer
Phone
(727) 498-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1492 W Flagler St
Miami, FL 33135-2209

Mailing address

405 Central Ave Ste 100
St Petersburg, FL 33701-3866
Phone (727) 498-4807

Other identifiers 1

IdentifierTypeStateIssuer
023566200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America of Florida Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1609442375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013866",
            "telephone_number": "727-498-4807",
            "fax_number": "727-823-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352209",
            "telephone_number": "786-369-1876",
            "fax_number": "786-502-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-498-4807"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023566200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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