Fresh Start of Miami-Dade, Inc.

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

FRESH START OF MIAMI-DADE, INC.

Practice address

18441 NW 2ND Ave
Suite 106-108
Miami Gardens, FL 33169-4517

Phone

(305) 623-9937

Fax

(305) 623-9917

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Sandra McQueen-Baker

Title

Executive Director

Phone

(305) 623-9937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1912294745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE",
            "address_2": "SUITE 106-108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "305-623-9937",
            "fax_number": "305-623-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE",
            "address_2": "SUITE 106-108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "305-623-9937",
            "fax_number": "305-623-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START OF MIAMI-DADE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN-BAKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-623-9937"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.