Active NPI
The Neomedicine Institute LLC
- Multi-Specialty Clinic/Center
- Doral, FL
National Provider Identifier
1770108110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- THE NEOMEDICINE INSTITUTE LLC
- Practice address
- 2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407 - Phone
- (786) 264-2999
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Cerra
- Title
- Office Manager
- Phone
- (786) 264-2999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407
Mailing address
2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407
Phone (786) 264-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2510 NW 97th Ave
Ste 110
Doral, FL 33172
Phone (786) 264-2999
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFDGCD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Doral, FL
- NPI 1386816965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647561600000",
"number": "1770108110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 NW 97TH AVE STE 110",
"city": "DORAL",
"state": "FL",
"postal_code": "331721407",
"telephone_number": "786-264-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 NW 97TH AVE STE 110",
"city": "DORAL",
"state": "FL",
"postal_code": "331721407",
"telephone_number": "786-264-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEOMEDICINE INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A",
"authorized_official_last_name": "CERRA",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "786-264-2999"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"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 Mar 18, 2022; 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.