Michael Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MICHAEL MEDICAL GROUP INC

Practice address

4800 W Flagler St Ste 110
Coral Gables, FL 33134-1400

Phone

(305) 381-5962

NPI assigned

May 7, 2013

Organization subpart

No

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

Authorized official

Name

Michael Formisano

Title

President

Phone

(305) 381-5962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1629413463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST STE 110",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST STE 110",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341400",
            "telephone_number": "305-381-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "FORMISANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-381-5962"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Speech Institute, LLC
• Miami Urological Associates
• Miami-Dade Best Services, Inc.
• Miamipsycdoc, LLC
• Michael Medical Center Corp.
• Michael R. Obregon, OD PA
• Peter Michael, M.D.
• Bahiyyih Ruha Mickler, RD/ LD
• Miguel a Canino MD PA
• Miguel I. Rodriguez-May,MD,P.a.

• General Practice Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.