Address: 1838 Nw 57th St, Miami, FL 33142-3056
Phone: 7865257669

OMNIFIT SPORTS & FITNESS LLC (NPI# 1720685563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720685563
Entity Type Organization
Practice Address 1838 Nw 57th St
FL 33142-3056
Practice Telephone 7865257669
Mailing Telephone 7865257669
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Authorized Official Name DERRICK SPENCE JR. (MANAGER)
Authorized Official Telephone 7863714116
Is Organization Subpart N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization Managed Care Organizations

Office Location

Street Address 1838 NW 57TH ST
State FL
Zip Code 33142-3056

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1467992594 Lissainet Diaz Sarduy Behavior Technician 2992 Nw 49 St, Miami, FL 33142 2017-03-08
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1770958811 Ray Miami Medical Center Corp General Practice 3900 Nw 36 St, 594, Miami, FL 33142 2015-12-01
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962944934 Joseph A. Murat, M.d. P.a. Preferred Provider Organization 15351 Sw 144th St, Miami, FL 33196-4633 2016-11-08
1174901839 Dr Emerson Valdez Dpm LLC Preferred Provider Organization 351 Nw 42nd Ave Ste 315, Miami, FL 33126-5688 2015-05-14
1588050231 Optimus Management Services LLC Preferred Provider Organization 10899 Sw 72nd St Ste 203, Miami, FL 33173-2722 2015-04-09
1366833568 Acupuncture and Alternative Medicine Clinic Preferred Provider Organization 13310 Sw 128th St, Miami, FL 33186-5899 2015-02-09
1629358270 Doctor'S Managment Service Group, Inc. Preferred Provider Organization 7005 N Waterway Dr, #306, Miami, FL 33155-2833 2011-08-26
1336433648 Preferred Provider Organization 4595 Sw 139th Ct Apt A, Miami, FL 33175-4454 2011-06-03
1396043139 Rafael Carralero Preferred Provider Organization 14231 Sw 121st Pl, Miami, FL 33186-6077 2011-03-02
1710287644 M.q. Health Compliance, Inc. Preferred Provider Organization 330 Sw 27th Ave Ste 504, Miami, FL 33135-2967 2010-10-26
1043525819 Star Medical Clinic, Inc. Preferred Provider Organization 6112 Nw 7th Ave, Miami, FL 33127-1112 2010-08-17
1760625925 Lexis Professional Service Inc Preferred Provider Organization 8770 Sunset Dr, Suite 512, Miami, FL 33173-3512 2009-04-16
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Zip Code 33142

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Dataset Information

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.