Active NPI
Dementia Care FL PLLC
- Family Medicine Physician
- Miami Beach, FL
National Provider Identifier
1790547271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.