PHYSICIAN ACCESS GROUP, LLC (NPI# 1184872178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184872178 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ACCESS GROUP, LLC |
| Practice Address |
655 Nw 119th St North Miami FL 33168-2522 |
| Practice Telephone | 3054032219 |
| Practice Fax Number | 7865173391 |
| Mailing Telephone | 3054032219 |
| Mailing Fax Number | 7865173391 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | DR. RUDOLPH MOISE (PRESIDENT/CEO) |
| Authorized Official Telephone | 3054032219 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
655 NW 119TH ST |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33168-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032061 | Physician Access Urgent Care Group, LLC | Contractor | 655 Nw 119th St, North Miami, FL 33168-2522 | 2008-05-05 |
| 1548669013 | Primary Health Physicians Group, LLC | Exclusive Provider Organization | 655 Nw 119th St, North Miami, FL 33168-2522 | 2014-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688304 | Latino Medical Center Iv, Inc | Internal Medicine | 12800-12880 Nww 7th Ave, North Miami, FL 33168 | 2020-08-06 |
| 1649736745 | Marie Aliene Jusma | Nurse Practitioner | 1095 Nw 110th Street, House, Miami, FL 33168 | 2019-02-13 |
| 1053803924 | Gabriela Arguello | Occupational Therapy Assistant | 1160 Nw 140th Ter, Miami, FL 33168 | 2018-06-05 |
| 1235635061 | Gilberto Lezcano | Behavior Technician | 11000 Nw 12 Ave, Miami, FL 33168 | 2018-04-02 |
| 1861996696 | Renuvala LLC | Prosthetic/Orthotic Supplier | 750 Nw 113 St, Miami, FL 33168 | 2018-03-19 |
| 1033654710 | Ariadna Barban | Behavior Technician | 789 Nw 145th. Terrace, Miami, FL 33168 | 2017-01-04 |
| 1225587843 | Nazael Dumay | Nurse Practitioner | 220 Nw 133 Street, Miami, FL 33168 | 2016-09-23 |
| 1205284635 | Francois Pencle | Contractor | 14151 Nw 3rd Ave, Miami, FL 33168 | 2016-05-26 |
| 1588029409 | Leroy Properties of Florida Inc | Assisted Living Facility | 2090 Nw 115 Street, Miami, FL 33168 | 2015-12-18 |
| 1760769681 | Primary Medical Care Center and Urgent Care Clinic, Inc | Clinic/Center | 11500 Nw 7th Ave, Miami, FL 33168 | 2011-11-05 |
| Find all providers in zip 33168 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032061 | Physician Access Urgent Care Group, LLC | Contractor | 655 Nw 119th St, North Miami, FL 33168-2522 | 2008-05-05 |
| 1831361179 | Jerry Wimberly | Contractor | 12110 Ne Miami Ct, North Miami, FL 33161-5354 | 2008-03-27 |
| 1659732519 | Norma Flores | Contractor | 1065 Ne 125th St Ste 300, North Miami, FL 33161-5833 | 2016-03-18 |
| 1376902270 | Paola C Ley | Contractor | 1065 Ne 125th Street, Suite 300, North Miami, FL 33161 | 2016-02-19 |
| 1013340637 | Medamax Mso, LLC | Contractor | 12555 Biscayne Blvd, Suite 480, North Miami, FL 33181-2522 | 2013-08-19 |
| 1891985628 | Finlay Medical Practice Inc | Contractor | 527 Ne 124th St, North Miami, FL 33161-5423 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MIAMI |
| Zip Code | 33168 |
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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.