Delores Macksoud MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0051716 Issued in FL

Legal business name

DELORES MACKSOUD MD PA

Practice address

12001 SW 128TH CT
Suite 205
Miami, FL 33186-4664

Phone

(305) 251-1373

Fax

(305) 252-6790

NPI assigned

Feb 26, 2007

Last updated

Jan 12, 2016By 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

Dr. Delores Macksoud, M.D. PANPI 1962594580

Title

Doctor

Phone

(305) 251-1373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Delores Macksoud, MD

  • Neurology Physician
  • Miami, FL
  • NPI 1962594580
  Authorized official Same address or phone

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1629104351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864664",
            "telephone_number": "305-251-1373",
            "fax_number": "305-252-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864664",
            "telephone_number": "305-251-1373",
            "fax_number": "305-252-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELORES MACKSOUD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "MACKSOUD",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-251-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0051716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049326100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delmar Alf LLC
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• Erika Maria Delmas
• Teresa Delmoral, MD
• Christina Delnero, MD
• Yonathan Joseph Delouya, M.D.
• Didley Delpeche
• Marvline Delphin
• Delphis Inc
• David Jesus Delpino, PA-C

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.