Florida Medical Center Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FLORIDA MEDICAL CENTER GROUP, INC.

Practice address

1501 NW 36TH St
Miami, FL 33142-5559

Phone

(786) 378-8200

NPI assigned

Jan 20, 2021

Organization subpart

Yes

Parent organization

FLORIDA MEDICAL CENTER GROUP, INC.As reported in NPPES

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

Authorized official

Name

Ms. Madelaine Souto

Title

Ceo

Phone

(786) 378-8200

Specialties & licenses 1

Addresses

Tax ID family

Florida Medical Center Group Inc3 organizations share this tax ID, including this one

Part of

Florida Medical Center Group Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Medical Center Group, Inc.

  • Clinic/Center
  • Homestead, FL
  • NPI 1013562446
  NPD tax ID
• Florida Medical Center Group, Inc.

  • Adolescent Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1396002929
  NPD tax ID

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1902496367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425559",
            "telephone_number": "786-378-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425559",
            "telephone_number": "786-378-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 NW 15th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304267",
            "country_code": "US",
            "telephone_number": "786-886-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216809",
            "country_code": "US",
            "telephone_number": "786-699-2500",
            "fax_number": "786-756-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEDICAL CENTER GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA MEDICAL CENTER GROUP, INC.",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "SOUTO",
        "authorized_official_first_name": "MADELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-378-8200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Med-Physical Rehab
• Florida Medical & Rehab Services Inc.
• Florida Medical Care Group Corp
• Florida Medical Center & Associates, Corp.
• Florida Medical Center Group, Inc.
• Florida Medical Diagnostic Imaging, Inc
• Florida Medical Office Inc
• Florida Medical Resources Manangement LLC
• Florida Medical Solutions Corp
• Florida Mental Health Practitioners, LLC

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.