Organization
PHYSICIAN SERVICE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL LAGO (PRESIDENT)
(305) 263-1090
Entity
Organization
Contact information
Practice address
9425 SW 72ND ST, SUITE 211, MIAMI, FL 33173-3251
(305) 263-1090
(305) 263-1091
Mailing address
9425 SW 72NS STREET, SUITE 211, MIAMI, FL 33173
(305) 263-1090
(305) 263-1091
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up