Organization Active NPI

Midland Medical Miami Shores Inc

  • Family Medicine Physician
  • Miami Shores, FL
National Provider Identifier
1639215551
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9305 Issued in FL
Legal business name
MIDLAND MEDICAL MIAMI SHORES INC
Practice address
8642 NE 2ND Ave
Miami Shores, FL 33138-3004
Phone
(305) 751-9677
Fax
(305) 751-9808
NPI assigned
Jan 29, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Noah J Lee, DO
Title
Director
Phone
(305) 751-9677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9305 FL Primary

Addresses

Primary practice location

8642 NE 2ND Ave
Miami Shores, FL 33138-3004

Mailing address

8642 NE 2ND Ave
Miami Shores, FL 33138-3004
Phone (305) 751-9677

National Provider Directory

National Provider Directory

Locations

8642 NE 2nd Ave
El Portal, FL 33138
Phone (305) 751-7301

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1639215551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383004",
            "telephone_number": "305-751-9677",
            "fax_number": "305-751-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383004",
            "telephone_number": "305-751-9677",
            "fax_number": "305-751-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MEDICAL MIAMI SHORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-751-9677",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.