Active NPI
Prebonick Medical Services Inc
- Family Medicine Physician
- Miami Gardens, FL
National Provider Identifier
1942178280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PREBONICK MEDICAL SERVICES INC
- Practice address
- 160 NW 176TH St
301-2
Miami Gardens, FL 33169-5021 - Phone
- (954) 393-9171
- NPI assigned
- Oct 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Prebonick, MD
- Title
- President
- Phone
- (954) 393-9171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
160 NW 176TH St
301-2
Miami Gardens, FL 33169-5021
Mailing address
160 NW 176TH St
Miami Gardens, FL 33169-5021
Phone (954) 393-9171
National Provider Directory
National Provider DirectoryLocations
160 NW 176th St
#3012
Miami Gardens, FL 33169
Phone (954) 393-9171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1942178280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 NW 176TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695021",
"telephone_number": "954-393-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NW 176TH ST",
"address_2": "301-2",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695021",
"telephone_number": "954-393-9171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREBONICK MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "PREBONICK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-393-9171",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.