International Travel Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0047855 Issued in FL

Legal business name

INTERNATIONAL TRAVEL CLINIC

Practice address

6280 SW 72ND St
Suite 607
South Miami, FL 33143-4827

Phone

(305) 668-0075

Fax

(305) 668-6299

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By 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. Kunjana Mavunda, MDNPI 1457358806

Title

Medical Director

Phone

(305) 668-0075

Specialties & licenses 1

Addresses

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.

• Kunjana Mavunda, M.D.

  • Pediatric Pulmonology Physician
  • South Miami, FL
  • NPI 1457358806
  NPD (past) Authorized official

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1629303375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SW 122ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565549",
            "telephone_number": "305-668-0075",
            "fax_number": "305-668-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SW 72ND ST",
            "address_2": "SUITE 607",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434827",
            "telephone_number": "305-668-0075",
            "fax_number": "305-668-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL TRAVEL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "MAVUNDA",
        "authorized_official_first_name": "KUNJANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-668-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0047855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusion Services Florida (Clearwell Infusion)
• Nielys Francis Ingles Diaz, APRN
• Innovative Cancer Institute LLC
• Innovative Cancer Institute LLC
• Institute for Thoracic Surgery PA
• Iregmed Inc
• Amaia Irusta, APRN
• Jennifer Margarita Iset Rodriguez
• Patricia Diane Isis, PH.D
• Vivian Charly Istiban, AP

• Medical Specialty Clinic/Center in South Miami, FL
• Providers in South Miami, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.