WHEAT L L C (NPI# 1235752460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235752460 |
| Entity Type | Organization |
| Organization Name | WHEAT L L C |
| Practice Address |
2627 Ne 203rd St Ste 109 Miami FL 33180-1945 |
| Practice Telephone | 3055282836 |
| Practice Fax Number | 3056828994 |
| Mailing Telephone | 3055282836 |
| Mailing Fax Number | 3056828994 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | REGINA F COOPER (DIRECTOR) |
| Authorized Official Telephone | 3055282836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CLIA | 10D2181154 | 01 |
| FL | HEALTH CARE CLINIC ESTABLSHMENT | 6011757 | 01 |
| FL | BIOMEDICAL WASTE CLINICAL LABORATORY | 13-64-202-7797 | 01 |
| FL | INSURANCE 2-15 | E063187 | 01 |
| Other Name | Type Code |
|---|---|
| Cooper Medical Management | Other Name - Individual/Organization |
| WHEAT L L C | Doing Business As Name - Organization |
| Street Address |
2627 NE 203RD ST STE 109 |
| City | MIAMI |
| State | FL |
| Zip Code | 33180-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378624 | David Brown & Associates, Pa | Medical Genetics | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1427671643 | Regina F Cooper | Clinical Medical Laboratory | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1932722162 | Wheat Community Services Inc | Clinic/Center | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1104441526 | Destiny Health and Wellness,llc | Clinic/Center | 14923 Nw 7th Ave, Miami, FL 33168-3107 | 2020-06-11 |
| 1609427202 | University Health Care Bird Road, Inc. | Clinic/Center | 13155 Sw 42nd St Ste 111, Miami, FL 33175-3428 | 2019-09-25 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1073007290 | Yaima Bonet, Arnp, Inc | Clinic/Center | 8080 W Flagler St Ste 2b, Miami, FL 33144-2100 | 2018-06-20 |
| 1902301658 | Family Medicine Home Visits Inc | Clinic/Center | 1898 Sw 27th Ave Ste 1, Miami, FL 33145-2445 | 2018-03-26 |
| 1639622293 | Jm Health Services Inc | Clinic/Center | 12707 Sw 225th St, Miami, FL 33170-4400 | 2016-08-01 |
| 1124476387 | Pmc Medical Management, LLC | Clinic/Center | 80 Sw 8th St Ste 2000, Miami, FL 33130-3038 | 2016-05-28 |
| 1073974838 | Professional Overweight Control | Clinic/Center | 1830 Nw 7th St Ste 1004, Miami, FL 33125-3569 | 2016-03-08 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on WHEAT L L C.
| 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.