Choice One Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 58497 Issued in FL

Legal business name

CHOICE ONE MEDICAL ASSOCIATES, LLC

Practice address

9730 NE 2ND Ave
Miami Shores, FL 33138-2311

Phone

(305) 758-7979

Fax

(305) 758-0034

NPI assigned

May 27, 2015

Organization subpart

Yes

Parent organization

CHOICE ONE MEDICAL ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Mary C Martinez

Title

VP of Operations

Phone

(561) 389-9568

Specialties & licenses 1

Addresses

Part of

Choice One Medical Associates LLC

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1689053324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N FEDERAL HWY",
            "address_2": "STE 135",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624304",
            "telephone_number": "954-703-6065",
            "fax_number": "888-972-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "305-758-7979",
            "fax_number": "305-758-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE ONE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICE ONE MEDICAL ASSOCIATES, LLC",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "561-389-9568"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 58497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.