Miami Shores Hand & Orthopaedic Surgical Associates Inc.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

ME 101703 Issued in FL

Legal business name

MIAMI SHORES HAND & ORTHOPAEDIC SURGICAL ASSOCIATES INC.

Practice address

1190 NW 95TH St
Suite 305
Miami, FL 33150-2063

Phone

(305) 696-2100

Fax

(305) 695-0025

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Thesselon Monderson, MD

Title

Ceo

Phone

(305) 696-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1922253756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381037",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332381037",
            "telephone_number": "306-696-2100",
            "fax_number": "305-696-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-696-2100",
            "fax_number": "305-695-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SHORES HAND & ORTHOPAEDIC SURGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "MONDERSON",
        "authorized_official_first_name": "THESSELON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-696-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME 101703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Hand Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Orthopaedic Hand Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.