Amavita Care Continuum PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AMAVITA CARE CONTINUUM PA

Practice address

100 NW 170TH St Ste 305
N Miami Beach, FL 33169-5511

Phone

(305) 249-5666

NPI assigned

Jan 10, 2019

Last updated

Jan 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pedro O Martinez-Clark

Title

MD

Phone

(305) 249-5666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1821561010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 305",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 305",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "305-249-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 NW 170th",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "N Miami Beach",
            "state": "FL",
            "postal_code": "33169",
            "country_code": "US",
            "telephone_number": "305-249-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAVITA CARE CONTINUUM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-CLARK",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-249-5666"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.