Organization Active NPI

Miami Medical Alliance LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Brandon, FL
National Provider Identifier
1740905819
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MIAMI MEDICAL ALLIANCE LLC
Practice address
116 W Bloomingdale Ave
Brandon, FL 33511-7430
Phone
(201) 566-2479
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dylan Field
Title
VP of Business Development
Phone
(201) 566-2479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

116 W Bloomingdale Ave
Brandon, FL 33511-7430

Mailing address

2729 State Road 580
Clearwater, FL 33761-3358

National Provider Directory

National Provider Directory

Locations

116 W Bloomingdale Ave
Brandon, FL 33511
Phone (201) 566-2479

2729 State Road 580
Clearwater, FL 33761

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1740905819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 STATE ROAD 580",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117430",
            "telephone_number": "201-566-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI MEDICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "VP OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "201-566-2479"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.