Active NPI
Platinum Specialty Physicians, LLC
- Internal Medicine Physician
- Miami Gardens, FL
National Provider Identifier
1831626803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PLATINUM SPECIALTY PHYSICIANS, LLC
- Practice address
- 17560 NW 27TH Ave Ste 106
Miami Gardens, FL 33056-4073 - Phone
- (305) 690-7851
- Fax
- (305) 390-3900
- NPI assigned
- May 22, 2017
- 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
- Marques Holland
- Title
- Managing Member
- Phone
- (305) 690-7851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
17560 NW 27TH Ave Ste 106
Miami Gardens, FL 33056-4073
Mailing address
17560 NW 27TH Ave Ste 106
Miami Gardens, FL 33056-4073
Phone (305) 690-7851
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami Gardens, FL
- NPI 1629569033
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1730131046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1831626803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17560 NW 27TH AVE STE 106",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564073",
"telephone_number": "305-690-7851",
"fax_number": "305-390-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17560 NW 27TH AVE STE 106",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564073",
"telephone_number": "305-690-7851",
"fax_number": "305-390-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM SPECIALTY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "MARQUES",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "305-690-7851"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.