Organization Active NPI

Florimed Medical Center Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1710705447
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FLORIMED MEDICAL CENTER CORP
Practice address
111 SW 107TH Ave
Miami, FL 33174-1417
Phone
(305) 456-2529
Fax
(305) 230-4377
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Tomas WhartonNPI 1003157017
Title
Ceo
Phone
(305) 834-9942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

111 SW 107TH Ave
Miami, FL 33174-1417

Mailing address

111 SW 107TH Ave
Miami, FL 33174-1417
Phone (305) 456-2529

Other names 1

  • Florimed Medical Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106003506 FL Part B Supplier - Pharmacy 8123320777 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2325076Florimed Medical Center Corp111 SW 107TH Ave, Miami, FL 33174Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

111 SW 107th Ave
Miami, FL 33174
Phone (305) 456-2529

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1710705447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741417",
            "telephone_number": "305-456-2529",
            "fax_number": "305-230-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741417",
            "telephone_number": "305-456-2529",
            "fax_number": "305-230-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIMED MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-834-9942"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florimed Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florimed Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.