Active NPI
Beverly Caren Land, DO
- Sports Medicine (Family Medicine) Physician
- Doral, FL
National Provider Identifier
1881789956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- J4284
- Practice address
- 3511 NW 91St Ave
Doral, FL 33172-1216 - Phone
- (305) 437-1148
- Fax
- (305) 437-1064
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | J4284 | TX | Primary |
Addresses
Primary practice location
3511 NW 91St Ave
Doral, FL 33172-1216
Mailing address
3511 NW 91St Ave
Doral, FL 33172-1216
Phone (305) 437-1148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4284 | TX | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881789956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 NW 91ST AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331721216",
"telephone_number": "305-437-1148",
"fax_number": "305-437-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 NW 91ST AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331721216",
"telephone_number": "305-437-1148",
"fax_number": "305-437-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "BEVERLY",
"middle_name": "CAREN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "J4284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.