SOUTH MIAMI SPORTS MEDICINE INC. (NPI# 1013211705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013211705 |
| Entity Type | Organization |
| Organization Name | SOUTH MIAMI SPORTS MEDICINE INC. |
| Practice Address |
7000 Sw 62nd Ave Suite 120 South Miami FL 33143-4716 |
| Mailing Address |
7000 S.w. 62 Avenue Suite 120 Miami FL 33143 |
| Practice Telephone | 3056667168 |
| Mailing Telephone | 3056667168 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | MR. ROBERT A MILLARES (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3056667116 |
| Authorized Official Credential | OTRL,CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | OT2468 | FL | Managed Care Organizations |
| Street Address |
7000 SW 62ND AVE SUITE 120 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700015 | Julian Fernando Naranjo | Anesthesiology | 7000 Sw 62nd Ave, Suite 535, South Miami, FL 33143-4716 | 2005-09-15 |
| 1215561972 | Ramon Osmany Perez Landaburo | Nurse Practitioner | 7000 Sw 62nd Ave, South Miami, FL 33143-4716 | 2020-03-02 |
| 1679034714 | Beryl Kalul | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave, South Miami, FL 33143-4716 | 2019-03-30 |
| 1528595717 | Denzel Cole | Family Medicine | 7000 Sw 62nd Ave, South Miami, FL 33143 | 2017-05-18 |
| 1760914022 | Reliable Imaging | Clinic/Center | 7000 Sw 62nd Ave, Suite 525, South Miami, FL 33143-4716 | 2017-03-28 |
| 1003356965 | Michele D'apuzzo, Md, Pa | Orthopaedic Surgery | 7000 Sw 62nd Ave, Suite 600, South Miami, FL 33143-4716 | 2017-02-27 |
| 1043663735 | Monica Ramirez | Nurse Practitioner | 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 | 2016-07-18 |
| 1194178285 | Margarita Garcia-saladin-landron | Counselor | 7000 Sw 62nd Ave, 300, South Miami, FL 33143-4716 | 2016-07-13 |
| 1740643311 | Matthew Treiman | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave, Suite 401, South Miami, FL 33143-4716 | 2016-04-01 |
| 1972961787 | Leslie Alina Santoyo Jimenez | Specialist | 7000 Sw 62nd Ave, South Miami, FL 33143-4716 | 2016-02-08 |
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|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
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| City | SOUTH MIAMI |
| Zip Code | 33143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.