NPIMap

Organization Active NPI

The Arc of South Florida

  • Preferred Provider Organization
  • Homestead, FL
National Provider Identifier
1972030443
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PTA27580 Issued in FL
Legal business name
THE ARC OF SOUTH FLORIDA
Practice address
720 SE 12TH Ter
Homestead, FL 33033-5093
Phone
(239) 810-8903
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Maiyarelis Camejo, PTA
Title
Pta
Phone
(239) 810-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PTA27580 FL Primary

Addresses

Primary practice location

720 SE 12TH Ter
Homestead, FL 33033-5093

Mailing address

720 SE 12TH Ter
Homestead, FL 33033-5093
Phone (239) 810-8903

National Provider Directory

National Provider Directory
Tax ID family
The Arc of South Florida12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

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": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1972030443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE 12TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335093",
            "telephone_number": "239-810-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE 12TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335093",
            "telephone_number": "239-810-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "MAIYARELIS",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "239-810-8903",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "PTA27580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.