Organization Active NPI

E & E Medical Center Diagnostic Inc

  • General Practice Physician
  • Miami Gardens, FL
National Provider Identifier
1710908645
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
E & E MEDICAL CENTER DIAGNOSTIC INC
Practice address
5190 NW 167TH St
Suite 114
Miami Gardens, FL 33014-6328
Phone
(305) 627-6644
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Gerald M Hoffman, DO
Title
President
Phone
(305) 627-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5190 NW 167TH St
Suite 114
Miami Gardens, FL 33014-6328

Mailing address

5190 NW 167TH St
Suite 114
Miami Gardens, FL 33014-6328
Phone (305) 627-6644

National Provider Directory

National Provider Directory

Locations

5190 NW 167th St
Ste 114
Miami Lakes, FL 33014
Phone (305) 627-6644

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1710908645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 114",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-627-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 114",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-627-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & E MEDICAL CENTER DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-627-6644",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.