PLATINUM SPECIALTY PHYSICIANS, LLC (NPI# 1831626803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831626803 |
| Entity Type | Organization |
| Organization Name | PLATINUM SPECIALTY PHYSICIANS, LLC |
| Practice Address |
17560 Nw 27th Ave Ste 106 Miami Gardens FL 33056-4073 |
| Practice Telephone | (305) 690-7851 |
| Practice Fax Number | 3053903900 |
| Mailing Telephone | 3056907851 |
| Mailing Fax Number | 3053903900 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | MARQUES HOLLAND (MANAGING MEMBER) |
| Authorized Official Telephone | 3056907851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
17560 NW 27TH AVE STE 106 |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720229107 | Radames Ignacio Fernandez Felipe | Internal Medicine | 4888 Nw 183 St, Suite 101, Miami Gardens, FL 33055-2939 | 2009-03-16 |
| 1114108669 | Andrea Marcela Sosa Melo | Internal Medicine | 4888 Nw 183rd St Ste 101, Miami Gardens, FL 33055-2939 | 2007-11-26 |
| 1053512343 | Alina Khan-ghany | Internal Medicine | 20801 Nw 2nd Avenue, Miami Gardens, FL 33169 | 2007-05-31 |
| 1821039462 | Cynthia D Wirth | Internal Medicine | 3966 Nw 167th St, Miami Gardens, FL 33054-6291 | 2006-06-08 |
| 1477505758 | Comfort Omobola Adewumi | Internal Medicine | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2006-05-16 |
| 1700861770 | Anite Lubin | Internal Medicine | 18250 Nw 2nd Ave, Suite 202, Miami Gardens, FL 33169-5011 | 2005-12-13 |
| 1174141899 | Dedicated Physicians Group of Texas Pllc | Internal Medicine | 1395 Nw 167th St, Miami Gardens, FL 33169-5710 | 2020-07-09 |
| 1053958082 | Dedicated Missouri Holding, LLC | Internal Medicine | 1395 Nw 167th St, Miami Gardens, FL 33169-5710 | 2019-12-10 |
| 1689237455 | Amg Group Services Corp | Internal Medicine | 99 Nw 183rd St Ste 241e, Miami Gardens, FL 33169-4551 | 2019-04-17 |
| 1033688668 | Spetro and Associates Corp | Internal Medicine | 99 Nw 183rd St, Miami Gardens, FL 33169-4502 | 2018-11-13 |
| Find all providers in MIAMI GARDENS | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
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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.