FIT LIFE PEDIATRIC CONSULTANTS, LLC (NPI# 1326587601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326587601 |
| Entity Type | Organization |
| Organization Name | FIT LIFE PEDIATRIC CONSULTANTS, LLC |
| Practice Address |
9020 Sw 137th Ave Ste 200 Miami FL 33186-1430 |
| Mailing Address |
9020 Sw 137th Ave Suite 200 Miami FL 33186-1426 |
| Practice Telephone | 3057773505 |
| Practice Fax Number | 7868662599 |
| Mailing Telephone | 3057773505 |
| Mailing Fax Number | 7868662599 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | DR. DAMARIS MAFUT (PRESIDENT) |
| Authorized Official Telephone | 3057773505 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS10933 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020390800 | 05 |
| Street Address |
9020 SW 137TH AVE STE 200 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699976357 | Damaris Mafut | Pediatrics | 9020 Sw 137th Ave Ste 200, Miami, FL 33186-1430 | 2007-05-30 |
| 1053898189 | Fitlife Behavioral Health LLC | Behavioral Analyst | 9020 Sw 137th Ave Ste 200, Miami, FL 33186-1430 | 2018-07-21 |
| 1588184741 | Francisco Brenes | Nurse Practitioner | 9020 Sw 137th Ave Ste 200, Miami, FL 33186-1426 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184187197 | Rosario Gely Md. Pa | Pediatrics | 8740 N Kendall Dr Ste 212, Miami, FL 33176-2221 | 2019-04-08 |
| 1619462991 | Palm Leaf Pediatrics | Pediatrics | 7300 Sw 93rd Ave Ste 210, Miami, FL 33173-3212 | 2018-06-28 |
| 1396239323 | Alixier Gonzalez Rivera | Pediatrics | 2151 Sw 82nd Ave, Miami, FL 33155-1236 | 2018-06-22 |
| 1962918730 | Gabrielle Koslovsky Schpilberg | Pediatrics | 1938 N Oak Haven Cir, Miami, FL 33179-2844 | 2017-12-15 |
| 1467988105 | Diana Abreu Molnar | Pediatrics | 2525 Sw 3rd Ave # Cu-1, Miami, FL 33129-2056 | 2017-05-01 |
| 1215311998 | Rudi-ann Tamara Graham | Pediatrics | 1444 Nw 14th Ave, Apartment 1107, Miami, FL 33125-1686 | 2015-07-13 |
| 1861887168 | Shari Williams | Pediatrics | 16401 Nw 2nd Ave Ste 202, Miami, FL 33169-6036 | 2015-04-02 |
| 1780077032 | Jose I. Pradere, M.d.,p.a. | Pediatrics | 815 Nw 57th Ave Ste 110, Miami, FL 33126-2041 | 2015-03-11 |
| 1902295934 | Claudia G Arango Md Pa | Pediatrics | 8525 Sw 92nd St Ste B7, Miami, FL 33156-7374 | 2015-01-14 |
| 1255733325 | Fernando Diez, Md | Pediatrics | 7805 Coral Way Ste 102, Miami, FL 33155-6539 | 2014-09-20 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on FIT LIFE PEDIATRIC CONSULTANTS, LLC.
| 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.