Active NPI
E & E Medical Center Diagnostic Inc
- General Practice Physician
- Miami Gardens, FL
National Provider Identifier
1710908645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.