Organization Active NPI

Dementia Care FL PLLC

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1790547271
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEMENTIA CARE FL PLLC
Practice address
1688 Meridian Ave Ste 716
Miami Beach, FL 33139-2710
Phone
(407) 519-3098
Fax
(407) 497-7020
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jonathan Amos
Title
Admin
Phone
(646) 406-9347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1688 Meridian Ave Ste 716
Miami Beach, FL 33139-2710

Mailing address

1032 E Brandon Blvd # 7437
Brandon, FL 33511-5509
Phone (407) 690-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607002315 FL Part B Supplier - Clinic/Group Practice 7113469909 Receives reassigned benefits from 2 practitioners
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

1688 Meridian Ave
Ste 716
Miami Beach, FL 33139

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1790547271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E BRANDON BLVD # 7437",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115509",
            "telephone_number": "407-690-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 MERIDIAN AVE STE 716",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392710",
            "telephone_number": "407-519-3098",
            "fax_number": "407-497-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMENTIA CARE FL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "646-406-9347"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.

Verify at the official NPI Registry.