Endocrine Health and Wellness of South Florida

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINE HEALTH AND WELLNESS OF SOUTH FLORIDA

Practice address

12060 SW 129TH CT Ste 205
Miami, FL 33186-4582

Phone

(786) 592-2744

Fax

(949) 404-6517

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Theresa Maria Collier, D.O.

Title

Owner

Phone

(305) 951-2152

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1912459272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 JACKSON ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767450",
            "telephone_number": "305-951-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 SW 129TH CT STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864582",
            "telephone_number": "786-592-2744",
            "fax_number": "949-404-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14720 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331767450",
            "country_code": "US",
            "telephone_number": "305-951-2152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3075 NW 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333111107",
            "country_code": "US",
            "telephone_number": "954-739-6233 x1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINE HEALTH AND WELLNESS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-951-2152",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS11351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1205123742",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.