NPIMap

Organization Active NPI

Uscg Clinic Air Station Miami

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Opa Locka, FL
National Provider Identifier
1760928923
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
USCG CLINIC AIR STATION MIAMI
Practice address
14750 NW 44TH CT
Opa Locka, FL 33054-2304
Phone
(757) 628-4363
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Debra Fitzgerald
Title
HSWL SC
Phone
(757) 628-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

14750 NW 44TH CT
Opa Locka, FL 33054-2304

Mailing address

14750 NW 44TH CT
Opa Locka, FL 33054-2304
Phone (757) 628-4363

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0666149Uscg Air Station Miami14750 NW 44TH CT, Opa Locka, FL 33054Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1760928923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 44TH CT",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542304",
            "telephone_number": "757-628-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 44TH CT",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542304",
            "telephone_number": "757-628-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG CLINIC AIR STATION MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "HSWL SC",
        "authorized_official_telephone_number": "757-628-4363"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.