Coral Gables Executive Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0063452 Issued in FL

Legal business name

CORAL GABLES EXECUTIVE PHYSICIANS LLC

Practice address

550 Biltmore Way
Suite 101
Coral Gables, FL 33134-5730

Phone

(305) 446-9940

Fax

(305) 446-0861

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Henry Thomas, MD

Title

Owner

Phone

(305) 446-9940

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1962698522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-446-9940",
            "fax_number": "305-446-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-446-9940",
            "fax_number": "305-446-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES EXECUTIVE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-446-9940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.