Active NPI
Concierge Pediatrics Miami Beach, LLC
- Pediatrics Physician
- Miami Beach, FL
National Provider Identifier
1669166559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CONCIERGE PEDIATRICS MIAMI BEACH, LLC
- Practice address
- 410 W 41St St Unit 406
Miami Beach, FL 33140-3504 - Phone
- (305) 239-3119
- NPI assigned
- Jun 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Cibran
- Title
- Partner
- Phone
- (276) 888-5157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
410 W 41St St Unit 406
Miami Beach, FL 33140-3504
Mailing address
2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 688-8515
Other names 1
- Concierge Pediatrics
National Provider Directory
National Provider DirectoryLocations
410 W 41st St
Unit 406
Miami Beach, FL 33140
Phone (305) 239-3119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1669166559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138815",
"telephone_number": "727-688-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 41ST ST UNIT 406",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403504",
"telephone_number": "305-239-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE PEDIATRICS MIAMI BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "CIBRAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "276-888-5157"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concierge Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.