Tellus Clinical Research, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

TELLUS CLINICAL RESEARCH, INC

Practice address

2500 S Douglas Rd
Suite B & C
Coral Gables, FL 33134-6104

Phone

(786) 409-2011

Fax

(305) 271-1555

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Miss Fidalgis Font

Title

Ceo

Phone

(786) 409-2011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1962836684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S DOUGLAS RD",
            "address_2": "SUITE B & C",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346104",
            "telephone_number": "786-409-2011",
            "fax_number": "305-271-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S DOUGLAS RD",
            "address_2": "SUITE B & C",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346104",
            "telephone_number": "786-409-2011",
            "fax_number": "305-271-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLUS CLINICAL RESEARCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "FONT",
        "authorized_official_first_name": "FIDALGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-409-2011",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.