Kravitz Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KRAVITZ MEDICAL CENTER INC

Practice address

1414 NW 107TH Ave Ste 203
Doral, FL 33172-2741

Phone

(305) 470-7555

Fax

(305) 470-0011

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Pablo Sicilia

Title

President

Phone

(305) 470-7555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1629409313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722741",
            "telephone_number": "305-470-7555",
            "fax_number": "305-470-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722741",
            "telephone_number": "305-470-7555",
            "fax_number": "305-470-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAVITZ MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-470-7555"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.