Active NPI
Brazilian Clinic LLC
Doing business as Medstation
- Clinic/Center
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BRAZILIAN CLINIC LLC
- Doing business as
- Medstation
- Practice address
- 3095 NE 163Rd St
North Miami Beach, FL 33160 - Phone
- (786) 702-7616
- Fax
- (954) 656-3219
- NPI assigned
- Apr 17, 2023
- 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
- Neymar C De Lima
- Title
- Owner/Manager
- Phone
- (954) 210-0942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3095 NE 163Rd St
North Miami Beach, FL 33160
Mailing address
3402 N Andrews Ave Ext
Pompano Beach, FL 33064
Phone (954) 368-1302
Other names 1
- Medstation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2280842 | Brazilian Clinic LLC | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Brazilian Clinic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3095 NE 163rd St
North Miami Beach, FL 33160
Phone (786) 702-7616
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Deerfield Beach, FL
- NPI 1477322915
-
- Nurse Practitioner
- Deerfield Beach, FL
- NPI 1104655612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1942996400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 N ANDREWS AVE EXT",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33064",
"telephone_number": "954-368-1302",
"fax_number": "954-656-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33160",
"telephone_number": "786-702-7616",
"fax_number": "954-656-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAZILIAN CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "DE LIMA",
"authorized_official_first_name": "NEYMAR",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "954-210-0942"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medstation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.