NPIMap

Organization Active NPI

Metro Dade Fire Fighters Wellness Center

  • Primary Care Clinic/Center
  • Doral, FL
National Provider Identifier
1720063092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME74252 Issued in FL
Legal business name
METRO DADE FIRE FIGHTERS WELLNESS CENTER
Practice address
8000 NW 21St St
Suite 200
Doral, FL 33122-1620
Phone
(305) 477-2329
Fax
(305) 477-3039
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michele Amy Grundstein, M.D.
Title
Medical Director
Phone
(305) 477-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME74252 FL Primary

Addresses

Primary practice location

8000 NW 21St St
Suite 200
Doral, FL 33122-1620

Mailing address

8000 NW 21St St
Suite 200
Doral, FL 33122-1620
Phone (305) 477-2329

National Provider Directory

National Provider Directory
Tax ID family
Metro Dade Fire Fighters Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8000 NW 21st St
Ste 200
Doral, FL 33122
Phone (305) 477-2329

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720063092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 NW 21ST ST",
            "address_2": "SUITE 200",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221620",
            "telephone_number": "305-477-2329",
            "fax_number": "305-477-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NW 21ST ST",
            "address_2": "SUITE 200",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221620",
            "telephone_number": "305-477-2329",
            "fax_number": "305-477-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DADE FIRE FIGHTERS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUNDSTEIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-477-2329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME74252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.