NPIMap

Organization Active NPI

Eduardo Kofman MD PA

  • Gastroenterology Physician
  • North Miami, FL
National Provider Identifier
1639344880
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME84340 Issued in FL
Legal business name
EDUARDO KOFMAN MD PA
Practice address
12550 Biscayne Blvd
Suite 600
North Miami, FL 33181-2541
Phone
(305) 892-3101
Fax
(309) 892-3103
NPI assigned
Apr 29, 2008
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Eduardo Kofman, MDNPI 1487609855
Title
President
Phone
(305) 892-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME84340 FL Primary

Addresses

Primary practice location

12550 Biscayne Blvd
Suite 600
North Miami, FL 33181-2541

Mailing address

12550 Biscayne Blvd
Suite 600
North Miami, FL 33181-2541
Phone (305) 892-3101

National Provider Directory

National Provider Directory

Locations

12550 Biscayne Blvd
Ste 600
North Miami, FL 33181
Phone (305) 892-3101

Networks

  • HealthSun Health Plans Network

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1639344880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-3101",
            "fax_number": "309-892-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-3101",
            "fax_number": "309-892-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO KOFMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-892-3101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME84340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.