PRIME SOUTH FLORIDA P.A INC. (NPI# 1568890523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568890523 |
| Entity Type | Organization |
| Organization Name | PRIME SOUTH FLORIDA P.A INC. |
| Practice Address |
11285 Sw 211th St Ste 205 Miami FL 33189-2211 |
| Practice Telephone | 3053789968 |
| Mailing Telephone | 3053789968 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | LISMELYS TRUJILLO GAMA (PRESIDENT) |
| Authorized Official Telephone | 3053789968 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
PA9100183 | FL | Ambulatory Health Care Facilities |
| Street Address |
11285 SW 211TH ST STE 205 |
| City | MIAMI |
| State | FL |
| Zip Code | 33189-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265822431 | Bay Health Dc Inc. | Chiropractor | 11285 Sw 211th St Ste 205, Miami, FL 33189-2211 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185910 | Maritza Gonzalez | Massage Therapist | 11255 Sw 211th Street, Miami, FL 33189 | 2019-07-12 |
| 1093292617 | Marlen Hernandez | Behavior Technician | 21340 S Sw 112 Ave, 201, Miami, FL 33189 | 2018-07-26 |
| 1811487705 | Innovative Minds Aba | Behavioral Analyst | 8848 Sw 211th Ln, Cutler Bay, FL 33189 | 2018-05-16 |
| 1750871828 | Patricia Yassa | Optometrist | 20505 S Dixie Hwy Ste 559, Cutler Bay, FL 33189 | 2018-05-15 |
| 1447751748 | Asline Charles-marc I | Behavioral Analyst | 20872 Sw 90 Pl, Cutler Bay, FL 33189 | 2018-02-22 |
| 1982115713 | Licet Dorta | Assistant Behavior Analyst | 9234 Sw 211th Ln, Cutler Bay, FL 33189 | 2017-10-19 |
| 1447774765 | Alexandra M Berlus | Behavior Technician | 8405 Sw 197th Terrace, Cutler Bay, FL 33189 | 2017-07-28 |
| 1710400577 | Nirmala Gokool | Behavior Technician | 1000 Bahama Drive, Miami, FL 33189 | 2017-07-24 |
| 1720500630 | Yusanny Gonzalez Cuadra | Behavior Technician | 8852 Sw 209th Terr, Miami, FL 33189 | 2017-07-12 |
| 1720500671 | The Therapy Company | Community/Behavioral Health | 9241 Sw 212th Terrace, Cutler Bay, FL 33189 | 2017-07-12 |
| Find all providers in zip 33189 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464845 | Dynamic Medical Research, LLC. | Clinic/Center | 5872 W Flagler St, Miami, FL 33144-3363 | 2020-07-22 |
| 1588287866 | Accountable Healthcare Partners, LLC. | Clinic/Center | 7480 Sw 40th St Ste 810, Miami, FL 33155-6660 | 2020-05-21 |
| 1801422159 | Modern Med Centers LLC | Clinic/Center | 8950 Sw 74th Ct Ste 101, Miami, FL 33156-3172 | 2020-03-18 |
| 1568029197 | Healthsnap, Inc | Clinic/Center | 1951 Nw 7th Ave Ste 600, Miami, FL 33136-1128 | 2019-05-20 |
| 1114583895 | J&g Medical Pt Group Inc. | Clinic/Center | 2500 Sw 107th Ave Ste 41, Miami, FL 33165-2492 | 2019-05-17 |
| 1427537976 | First Step Medical Center | Clinic/Center | 600 Nw 35th Ave Ste 101102, Miami, FL 33125-4000 | 2018-08-07 |
| 1740792597 | Florida Medical Solutions Corp | Clinic/Center | 9521 Sw 138th Pl, Miami, FL 33186-7872 | 2017-11-02 |
| 1568985281 | Excel Medical Diagnostics 1, Inc. | Clinic/Center | 3898 W. Flagler Street, Miami, FL 33134 | 2017-07-25 |
| 1265971303 | Arturo Noguel | Clinic/Center | 10315 Nw 9th Street Cir Apt 201, Miami, FL 33172-3293 | 2017-02-22 |
| 1275071524 | Kine Vip Miami Inc | Clinic/Center | 7235 Sw 24th St Ste 209, Miami, FL 33155-1452 | 2017-02-07 |
| Find all providers in MIAMI | ||||
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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.