NPIMap

Organization Active NPI

Emergent Physicians of Miami Lakes, LLC

  • Emergency Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1730901018
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENT PHYSICIANS OF MIAMI LAKES, LLC
Practice address
15200 NW 77TH CT
Miami Lakes, FL 33016-6033
Phone
(786) 595-1800
NPI assigned
Oct 29, 2024
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Gabriela Picado
Title
Office Manager
Phone
(786) 888-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

15200 NW 77TH CT
Miami Lakes, FL 33016-6033

Mailing address

6200 Sunset Dr Ste 302
South Miami, FL 33143-4829
Phone (786) 888-8820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114003596 FL Part B Supplier - Clinic/Group Practice 9739617010 Receives reassigned benefits from 91 practitioners
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1730901018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 302",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "786-888-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 NW 77TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166033",
            "telephone_number": "786-595-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT PHYSICIANS OF MIAMI LAKES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PICADO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-888-8820"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.