NPIMap

Organization Active NPI

Omni Health Institute for Functional and Integrative Medicine LLC

  • Internal Medicine Physician
  • South Miami, FL
National Provider Identifier
1760075410
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OMNI HEALTH INSTITUTE FOR FUNCTIONAL AND INTEGRATIVE MEDICINE LLC
Practice address
6200 Sunset Dr Ste 305
South Miami, FL 33143-4829
Phone
(305) 665-6501
Fax
(305) 661-1672
NPI assigned
Feb 13, 2021
Last updated
Feb 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Authorized official

Name
Pierrot Jeannot, MD
Title
Ceo
Phone
(305) 665-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

6200 Sunset Dr Ste 305
South Miami, FL 33143-4829

Mailing address

6200 Sunset Dr Ste 305
South Miami, FL 33143-4829
Phone (305) 665-6501

Other identifiers 1

IdentifierTypeStateIssuer
017307700MedicaidFL

National Provider Directory

National Provider Directory

Locations

6200 Sunset Dr
Ste 305
South Miami, FL 33143
Phone (305) 661-6501

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1760075410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 305",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "305-665-6501",
            "fax_number": "305-661-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 305",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "305-665-6501",
            "fax_number": "305-661-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH INSTITUTE FOR FUNCTIONAL AND INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "JEANNOT",
        "authorized_official_first_name": "PIERROT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-665-6501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017307700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.