Organization Active NPI

MDS of South Florida PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1619946837
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071416 Issued in FL
Legal business name
MDS OF SOUTH FLORIDA PA
Practice address
9045 SW 87TH CT
Miami, FL 33176-2304
Phone
(305) 598-7715
Fax
(305) 598-7719
NPI assigned
Mar 17, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Jody Beth Male
Title
Practice Manager
Phone
(305) 598-7715

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS8299 FL
Internal Medicine Physician 207R00000X ME52945 FL
Internal Medicine Physician 207R00000X ME0071416 FL Primary

Addresses

Primary practice location

9045 SW 87TH CT
Miami, FL 33176-2304

Mailing address

9045 SW 87TH CT
Miami, FL 33176-2304
Phone (305) 598-7715

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1619946837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 SW 87TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762304",
            "telephone_number": "305-598-7715",
            "fax_number": "305-598-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW 87TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762304",
            "telephone_number": "305-598-7715",
            "fax_number": "305-598-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MALE",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "305-598-7715"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS8299",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME52945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071416",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 9, 2008; 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.