Yaksic Group LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

YAKSIC GROUP LLC

Doing business as

Nobel Medical Service

Practice address

12856 SW 211TH Ter
Miami, FL 33177-7439

Phone

(305) 330-5009

Fax

(844) 860-0611

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica M Yaksic

Title

Manager

Phone

(305) 330-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nobel Medical Service Doing business as

Locations

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1629521489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CORAL WAY",
            "address_2": "STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452661",
            "telephone_number": "305-330-5009",
            "fax_number": "844-860-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12856 SW 211TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777439",
            "telephone_number": "305-330-5009",
            "fax_number": "844-860-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKSIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "YAKSIC",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-330-5009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "L16000115325",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nobel Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.