Organization Active NPI

Family Resource Center of South Florida Inc

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1902919228
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY RESOURCE CENTER OF SOUTH FLORIDA INC
Practice address
155 South Miami Avenue
Ste 400
Miami, FL 33130-1617
Phone
(305) 374-6006
Fax
(305) 374-6112
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Oren W Wunderman, PHD
Title
Executive Director
Phone
(305) 374-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

155 South Miami Avenue
Ste 400
Miami, FL 33130-1617

Mailing address

155 South Miami Avenue
Ste 400
Miami, FL 33130-1617
Phone (305) 374-6006

Other identifiers 3

IdentifierTypeStateIssuer
912841700MedicaidFL
070390703MedicaidFL
070390700MedicaidFL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1902919228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SOUTH MIAMI AVENUE",
            "address_2": "STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301617",
            "telephone_number": "305-374-6006",
            "fax_number": "305-374-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOUTH MIAMI AVENUE",
            "address_2": "STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301617",
            "telephone_number": "305-374-6006",
            "fax_number": "305-374-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCE CENTER OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "WUNDERMAN",
        "authorized_official_first_name": "OREN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-374-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912841700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070390703",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070390700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.