Organization Active NPI

Prebonick Medical Services Inc

  • Family Medicine Physician
  • Miami Gardens, FL
National Provider Identifier
1942178280
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 28, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.