Organization Active NPI

FB Center Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1710784137
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FB CENTER CORP
Practice address
19500 SW 127TH Ave
Miami, FL 33177-4208
Phone
(754) 262-2113
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Pierre Etienne Pean, M.D
Title
President
Phone
(754) 262-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

19500 SW 127TH Ave
Miami, FL 33177-4208

Mailing address

19500 SW 127TH Ave
Miami, FL 33177-4208
Phone (754) 262-2113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1710784137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774208",
            "telephone_number": "754-262-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774208",
            "telephone_number": "754-262-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "ETIENNE  PEAN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-262-2113",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2025; 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.