Imed Surgical of Miami PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IMED SURGICAL OF MIAMI PA

Practice address

1820 E Commercial Blvd
Ft Lauderdale, FL 33308-3725

Phone

(305) 615-3311

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer R Myers

Title

Clinical Compliance Manager

Phone

(631) 479-3496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Michael Jones

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1134297484

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1831749977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1970",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101561970",
            "telephone_number": "631-479-3496",
            "fax_number": "917-791-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083725",
            "telephone_number": "305-615-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED SURGICAL OF MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "631-479-3496"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Ike, A.P.
• Fatima Ildefonso
• Illuminnate Chiropractic PLLC
• Areeba Imam, MD
• Laura Marie Imbriale
• Immuno Laboratories of Florida, Inc
• Ashley Imperato
• Imperial Diagnostics
• Imperial Point Ekg Readers Inc
• Imperial Point Pharmacy Center, Inc.

• Surgery Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.