Organization Active NPI

Medical Group of Florida Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1972536571
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME28764 Issued in FL
Legal business name
MEDICAL GROUP OF FLORIDA INC
Practice address
831 SW 14TH Ave
Suite a
Miami, FL 33135-5202
Phone
(305) 285-4243
Fax
(305) 285-4244
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Julian Nodarse
Title
Administrator
Phone
(305) 285-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME28764 FL Primary

Addresses

Primary practice location

831 SW 14TH Ave
Suite a
Miami, FL 33135-5202

Mailing address

831 SW 14TH Ave
Suite a
Miami, FL 33135-5202
Phone (305) 285-4243

Other names 1

  • Medical Group of Fl Former legal business name

National Provider Directory

National Provider Directory

Locations

1774 SW 8th St
Ste A
Miami, FL 33135
Phone (305) 642-3720

831 SW 14th Ave
Ste A
Miami, FL 33135
Phone (305) 285-4243

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1972536571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SW 14TH AVE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355202",
            "telephone_number": "305-285-4243",
            "fax_number": "305-285-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SW 14TH AVE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355202",
            "telephone_number": "305-285-4243",
            "fax_number": "305-285-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "NODARSE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-285-4243",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME28764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Group of Fl",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.