Organization Active NPI

Concierge Pediatrics Miami Beach, LLC

  • Pediatrics Physician
  • Miami Beach, FL
National Provider Identifier
1669166559
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jun 5, 2023

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.