Active NPI
Florida Medical Care Group Corp
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1962152181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FLORIDA MEDICAL CARE GROUP CORP
- Practice address
- 13190 SW 134TH St Ste 108
Miami, FL 33186-4460 - Phone
- (786) 768-1283
- Fax
- (786) 364-7154
- NPI assigned
- Mar 29, 2022
- 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
- Marilyn Betancourt, APRN
- Title
- President
- Phone
- (786) 768-1283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
13190 SW 134TH St Ste 108
Miami, FL 33186-4460
Mailing address
13190 SW 134TH St Ste 108
Miami, FL 33186-4460
Phone (786) 768-1283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13190 SW 134th St
Ste 108
Miami, FL 33186
Phone (786) 768-1283
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1962152181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13190 SW 134TH ST STE 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864460",
"telephone_number": "786-768-1283",
"fax_number": "786-364-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13190 SW 134TH ST STE 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864460",
"telephone_number": "786-768-1283",
"fax_number": "786-364-7154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA MEDICAL CARE GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "BETANCOURT",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-768-1283",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Florida Kids Behavioral Analysis Corp
- Florida Managed Care Systems
- Florida Med-Care, Inc
- Florida Med-Physical Rehab
- Florida Medical & Rehab Services Inc.
- Florida Medical Center & Associates, Corp.
- Florida Medical Center Group, Inc.
- Florida Medical Center Group, Inc.
- Florida Medical Diagnostic Imaging, Inc
- Florida Medical Office Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.