GARY D. SMALL DPM CORP (NPI# 1902174758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902174758 |
| Entity Type | Organization |
| Organization Name | GARY D. SMALL DPM CORP |
| Other Organization Name | CORAL GABLES PODIATRY CENTER |
| Practice Address |
2645 Sw 37th Ave Suite 704 Miami FL 33133-2754 |
| Practice Telephone | 3054447114 |
| Practice Fax Number | 3054449587 |
| Mailing Telephone | 3054447114 |
| Mailing Fax Number | 3054449587 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | SAMANTHA MARTINEZ (OWNER) |
| Authorized Official Telephone | 3054447114 |
| Is Organization Subpart | Y |
| Parent Organization Name | GARY D. SMALL DPM CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Coral Gables Podiatry Center | Doing Business As Name - Organization |
| Street Address |
2645 SW 37TH AVE SUITE 704 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680421 | Phoenix Dental, Inc | Clinic/Center | 2645 Sw 37th Ave, Ste 303, Miami, FL 33133-2754 | 2005-06-27 |
| 1417583949 | Kristyn Alexus Sola | Physician Assistant | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2020-03-16 |
| 1750945085 | Juan J Sanchez Velasquez | Specialist/Technologist, Other | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2019-04-22 |
| 1043759749 | Sanitas Dental of Coral Gables | Clinic/Center | 2645 Sw 37th Ave, Suite 303, Miami, FL 33133-2754 | 2017-02-15 |
| 1194180166 | Dean M. Zusmer, D.c. P.a. | Chiropractor | 2645 Sw 37th Ave, Suite #503, Miami, FL 33133-2754 | 2015-12-17 |
| 1972999613 | Sal Health Group, LLC | Exclusive Provider Organization | 2645 Sw 37th Ave, Suite 601, Miami, FL 33133-2754 | 2015-04-09 |
| 1750770806 | Amaury Frias | Specialist/Technologist, Other | 2645 Sw 37th Ave, Suite 400, Miami, FL 33133-2754 | 2015-01-13 |
| 1821491358 | Coral Gables Dental Health Centre, Pa | Clinic/Center | 2645 Sw 37th Ave, #303, Miami, FL 33133-2754 | 2014-09-29 |
| 1740615418 | Dental Specialists of Coral Gables Group Co. | Dentist | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2013-09-12 |
| 1578859369 | Salubris LLC | Health Maintenance Organization | 2645 Sw 37th Ave, 6 Floor, Miami, FL 33133-2754 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1609426568 | Baptist Hospital of Miami Inc. | Non-Pharmacy Dispensing Site | 13101 N Kendall Dr, Miami, FL 33186-1748 | 2019-09-12 |
| 1649820598 | Baptist Hospital of Miami Inc. | Non-Pharmacy Dispensing Site | 14660 Sw 8th St Ste 100, Miami, FL 33184-3135 | 2019-09-12 |
| 1932647906 | Holiday Cvs LLC | Non-Pharmacy Dispensing Site | 12000 Sw 8th St, Miami, FL 33184-1634 | 2017-02-09 |
| 1265822142 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 585 Nw 161st St, Miami, FL 33169-6314 | 2015-01-29 |
| 1730501081 | Juan M Garces Md Pa | Non-Pharmacy Dispensing Site | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2014-01-06 |
| 1295078186 | Community Health of South Florida, Inc. | Non-Pharmacy Dispensing Site | 13540 Sw 135th Ave, Miami, FL 33186-6184 | 2013-03-29 |
| 1144561168 | Gilly Perez, Md | Non-Pharmacy Dispensing Site | 8955 Sw 87th Ct., Suite 204, Miami, FL 33176 | 2013-03-15 |
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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.