CPC Medical Center at Miller Drive, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CPC MEDICAL CENTER AT MILLER DRIVE, INC.

Practice address

10240 SW 56TH St
Suite #106
Miami, FL 33165-7071

Phone

(305) 598-8805

Fax

(305) 598-8109

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Chervony

Title

Vice President

Phone

(305) 854-6661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1669504767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SW 27TH AVE",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453663",
            "telephone_number": "305-854-6661",
            "fax_number": "305-856-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST",
            "address_2": "SUITE #106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657071",
            "telephone_number": "305-598-8805",
            "fax_number": "305-598-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC MEDICAL CENTER AT MILLER DRIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "CHERVONY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-854-6661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.