DEVOTED MEDICAL GROUP, PC (NPI# 1245838168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245838168 |
| Entity Type | Organization |
| Organization Name | DEVOTED MEDICAL GROUP, PC |
| Practice Address |
2801 Sw 149th Ave Ste 100 Miramar FL 33027-4166 |
| Mailing Address |
221 Crescent St Ste 202 Waltham MA 02453-3425 |
| Practice Telephone | 6179581611 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. NEIL WAGLE (CMO) |
| Authorized Official Telephone | 6172566666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2801 SW 149TH AVE STE 100 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013370568 | Alec Petersen | Internal Medicine | 2801 Sw 149th Ave Ste 100, Miramar, FL 33027-4166 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680968 | Las Marias Health and Wellness | Clinic/Center | 15071 Sw 49th Ct, Miramar, FL 33027-3600 | 2019-10-15 |
| 1669915351 | Michelle Joseph Isma | Clinic/Center | 3857 Sw 170th Ave, Miramar, FL 33027-4623 | 2016-11-29 |
| 1528515210 | Denise Montfleury | Clinic/Center | 5160 Sw 158th Ave, Miramar, FL 33027-5610 | 2016-09-09 |
| 1972904027 | Nelson Family Group | Clinic/Center | 8532 Beekman Drive, Miramar, FL 33025 | 2014-09-09 |
| 1235497298 | Memorial Physician Group- Christopher Ramsaran, Md | Clinic/Center | 12781 Miramar Pkwy Ste 202, Miramar, FL 33027-2908 | 2012-04-27 |
| 1356556443 | William E. Sanchez, Md Pa | Clinic/Center | 17429 Sw 54th St, Miramar, FL 33029-5068 | 2007-05-11 |
| 1689731432 | Dr Joan Lyn Family Medicine P A | Clinic/Center | 6488 Sw 25th St, Miramar, FL 33023-2800 | 2007-01-02 |
| 1053472019 | Pediatrics Pa | Clinic/Center | 3220 S Douglas Rd Ste B, Miramar, FL 33025-2734 | 2006-12-13 |
| 1104436948 | Bless Medical Center Hollywood LLC | Clinic/Center | 6448 Pembroke Rd, Miramar, FL 33023-2138 | 2020-08-06 |
| 1639559750 | Vivian Bilasano Md LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite312, Miramar, FL 33029-5593 | 2015-06-03 |
| Find all providers in MIRAMAR | ||||
Please comment or provide details below to improve the information on DEVOTED MEDICAL GROUP, PC.
| 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.