Organization Active NPI

Bofill Services Group, LLC

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1770380792
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
BOFILL SERVICES GROUP, LLC
Practice address
6628 SW 113TH Ave # 6628
Miami, FL 33173-1972
Phone
(786) 287-4343
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Madeleyne Bofill, RN
Title
Owner
Phone
(786) 357-7968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

6628 SW 113TH Ave # 6628
Miami, FL 33173-1972

Mailing address

6628 SW 113TH Ave # 6628
Miami, FL 33173-1972
Phone (786) 357-7968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1770380792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 SW 113TH AVE # 6628",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731972",
            "telephone_number": "786-357-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SW 113TH AVE # 6628",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731972",
            "telephone_number": "786-287-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOFILL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BOFILL",
        "authorized_official_first_name": "MADELEYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-357-7968",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.