MIVIP ANESTHESIA GROUP LLC (NPI# 1619321684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619321684 |
| Entity Type | Organization |
| Organization Name | MIVIP ANESTHESIA GROUP LLC |
| Practice Address |
11801 Sw 90th St Suite 202 Miami FL 33186-2182 |
| Mailing Address |
398 Camino Gardens Blvd Suite 102 Boca Raton FL 33432-5827 |
| Practice Telephone | 3055956850 |
| Mailing Telephone | 5613923341 |
| Mailing Fax Number | 5613923793 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. ISAAC VERBUKH (SOLE MBR) |
| Authorized Official Telephone | 5613923341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
========= | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DOCUMENT NUMBER | L16000067973 | 01 |
| Street Address |
11801 SW 90TH ST SUITE 202 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844303 | Mauricio Fernando Herrera | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2005-07-13 |
| 1851779029 | Miami Regional Surgery Center LLC | Clinic/Center | 11801 Sw 90th St, 202, Miami, FL 33186-2182 | 2015-05-08 |
| 1467854208 | Simon E Valladares | Physician Assistant | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2014-09-24 |
| 1275879132 | Premiercare Surgery Center of Kendall, LLC | Clinic/Center | 11801 Sw 90th St, Miami, FL 33186-2182 | 2012-12-21 |
| 1669723953 | Ce Ceballos Md, LLC | Orthopaedic Surgery | 11801 Sw 90th St, Suite 202, Miami, FL 33186-2182 | 2012-09-26 |
| 1063787042 | Montserrat Buia, M.d., P.a. | Family Medicine | 11801 Sw 90th St, 105, Miami, FL 33186-2182 | 2012-03-09 |
| 1073758371 | Felix A Stanziola, Md, Pa | Specialist | 11801 Sw 90th St, Suite 101, Miami, FL 33186-2182 | 2008-12-16 |
| 1689827206 | Oliver Tieh-shun Lee | Physician Assistant | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2008-10-28 |
| 1326230442 | Amar Dilip Rajadhyaksha | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-08-13 |
| 1366646077 | Liam Mccarthy | Physical Medicine & Rehabilitation | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-06-14 |
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| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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 |
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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.