Active NPI 1265461826 Individual Practitioner Male Practitioner

Dr. Bruce R Kava , MD

Urology • Miami, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Kava, MD is a certified Urology practicing in Miami, FL. With approximately 37 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1989, Dr. Kava delivers high-quality medical care to the local community at 1150 NW 14TH ST STE 309.

Dr. Kava is affiliated with University Of Miami and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1150 Nw 14th St Ste 309

Miami, FL 331362114

Telephone 3052436090

Fax 7863925238

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +13.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

79 Specialists

Practicing in Miami, FL (1082 Statewide)

Telehealth Adoption Rate

43.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kava (37 Years) 37 Yrs

Miami Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	867	574	$11.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	631	477	$299.00	$123.15
99213 Established patient office or other outpatient visit, typically 15 minutes	325	276	$193.00	$89.42
51798 Ultrasound measurement of bladder capacity after voiding	164	141	$71.00	$11.76
52000 Diagnostic exam of bladder and urethra using an endoscope	153	117	$792.00	$206.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$507.00	$166.69
51700 Simple bladder irrigation and/or instillation	112	82	$321.00	$33.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$304.00	$110.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	26	$93.00	$14.80
76872 Ultrasound scan of pelvic region through rectum	27	25	$346.00	$140.79
55700 Biopsy of prostate gland	25	24	$845.00	$256.00
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	24	$3435.42	$798.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	21	$227.00	$59.89
11980 Insertion of hormone pellets beneath the skin	21	13	$363.00	$91.18
0421T Waterjet destruction of prostrate accessed through the urethra	18	18	$2762.00	$756.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$429.00	$171.13
55175 Repair of the scrotum	12	12	$1448.00	$233.56
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	11	11	$290.00	$71.69
81001 Manual urinalysis test with examination using microscope, automated	11	11	$15.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	754	518	$11.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	380	$299.00	$124.67
99213 Established patient office or other outpatient visit, typically 15 minutes	395	322	$193.00	$90.80
J3490 Unclassified drugs	175	11	$280.00	$112.84
52000 Diagnostic exam of bladder and urethra using an endoscope	121	102	$792.00	$212.41
51700 Simple bladder irrigation and/or instillation	104	85	$321.00	$38.81
51798 Ultrasound measurement of bladder capacity after voiding	81	72	$71.00	$11.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$507.00	$164.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$304.00	$113.26
11980 Insertion of hormone pellets beneath the skin	25	13	$363.00	$98.54
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	23	23	$3473.91	$824.89
52240 Destruction and/or removal of large growth of bladder using an endoscope	19	13	$1588.00	$436.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$99.00	$59.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$716.88	$117.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	517	397	$299.00	$126.68
81002 Urinalysis, manual test	502	372	$12.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	352	288	$193.00	$88.26
81003 Automated urinalysis test	228	193	$11.00	$2.20
J3490 Unclassified drugs	198	11	$280.00	$113.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$507.00	$171.59
51700 Simple bladder irrigation and/or instillation	102	81	$321.00	$45.05
52000 Diagnostic exam of bladder and urethra using an endoscope	94	74	$792.00	$179.82
51798 Ultrasound measurement of bladder capacity after voiding	39	35	$71.00	$11.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$304.00	$115.40
76872 Ultrasound scan of pelvic region through rectum	29	28	$346.00	$146.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	27	$93.00	$15.13
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	27	26	$3431.48	$818.16
11980 Insertion of hormone pellets beneath the skin	26	13	$363.00	$88.22
52240 Destruction and/or removal of large growth of bladder using an endoscope	23	16	$1588.00	$429.44
55175 Repair of the scrotum	19	18	$1424.42	$212.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$227.00	$62.46
55700 Biopsy of prostate gland	17	16	$845.00	$266.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$666.00	$111.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$99.00	$57.15
54405 Insertion of multi-component inflatable penile prosthesis	11	11	$3759.27	$929.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	402	$299.00	$129.94
81002 Urinalysis, manual test	479	367	$12.00	$3.47
99213 Established patient office or other outpatient visit, typically 15 minutes	271	229	$193.00	$91.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$507.00	$173.13
52000 Diagnostic exam of bladder and urethra using an endoscope	108	89	$792.00	$194.90
51700 Simple bladder irrigation and/or instillation	99	81	$321.00	$43.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$304.00	$118.37
76872 Ultrasound scan of pelvic region through rectum	25	25	$346.00	$147.58
11980 Insertion of hormone pellets beneath the skin	24	11	$363.00	$87.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	21	$93.00	$15.14
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	18	18	$6743.00	$1976.19
51798 Ultrasound measurement of bladder capacity after voiding	17	16	$71.00	$11.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$99.00	$58.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$707.63	$166.05
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$3521.43	$836.46
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	11	11	$712.00	$136.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	412	325	$299.00	$108.72
99213 Established patient office or other outpatient visit, typically 15 minutes	258	211	$193.00	$73.23
81002 Urinalysis, manual test	164	133	$12.00	$3.44
52000 Diagnostic exam of bladder and urethra using an endoscope	101	80	$792.00	$168.91
51700 Simple bladder irrigation and/or instillation	97	74	$321.00	$35.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$507.00	$168.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$304.00	$110.50
51798 Ultrasound measurement of bladder capacity after voiding	42	39	$71.00	$11.16
76872 Ultrasound scan of pelvic region through rectum	17	17	$346.00	$152.03
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$104.53	$81.18
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$3400.00	$852.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	690	483	$299.00	$107.45
99213 Established patient office or other outpatient visit, typically 15 minutes	313	241	$193.00	$72.43
81002 Urinalysis, manual test	200	148	$12.00	$3.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$507.00	$168.03
52000 Diagnostic exam of bladder and urethra using an endoscope	126	94	$792.00	$165.64
51700 Simple bladder irrigation and/or instillation	122	91	$321.00	$37.77
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	60	11	$620.00	$224.19
51798 Ultrasound measurement of bladder capacity after voiding	32	30	$71.00	$13.67
76872 Ultrasound scan of pelvic region through rectum	26	22	$346.00	$133.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$304.00	$108.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	11	$119.00	$32.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	17	$93.00	$17.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	17	$227.00	$60.50
55700 Biopsy of prostate gland	18	16	$845.00	$273.18
55175 Repair of the scrotum	17	16	$1448.00	$207.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$99.00	$41.82
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	11	11	$712.00	$140.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	748	477	$299.00	$106.53
99213 Established patient office or other outpatient visit, typically 15 minutes	238	193	$193.00	$73.76
52000 Diagnostic exam of bladder and urethra using an endoscope	132	97	$792.00	$149.86
51700 Simple bladder irrigation and/or instillation	124	90	$321.00	$33.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$507.00	$168.78
81002 Urinalysis, manual test	95	82	$12.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	63	12	$620.00	$213.37
51720 Instillation of anti-cancer drug into bladder	22	11	$426.00	$78.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	12	$119.00	$32.00
51798 Ultrasound measurement of bladder capacity after voiding	20	20	$71.00	$16.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$429.00	$145.39
55175 Repair of the scrotum	18	18	$1448.00	$198.16
76872 Ultrasound scan of pelvic region through rectum	12	12	$346.00	$101.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$93.00	$21.51
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$227.00	$63.46
55700 Biopsy of prostate gland	11	11	$845.00	$272.49
54405 Insertion of multi-component inflatable penile prosthesis	11	11	$3248.00	$862.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$304.00	$114.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	640	422	$299.00	$105.98
81002 Urinalysis, manual test	426	295	$12.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	233	186	$193.00	$73.47
52000 Diagnostic exam of bladder and urethra using an endoscope	137	102	$792.00	$156.40
51700 Simple bladder irrigation and/or instillation	135	95	$321.00	$36.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$508.33	$167.29
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	12	$620.00	$208.73
51720 Instillation of anti-cancer drug into bladder	33	16	$426.00	$85.67
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	12	$119.00	$34.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$312.12	$115.57
11980 Insertion of hormone pellets beneath the skin	24	13	$363.00	$83.93
55175 Repair of the scrotum	22	22	$1448.00	$206.10
54405 Insertion of multi-component inflatable penile prosthesis	19	19	$3290.74	$918.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$99.00	$41.45
52204 Biopsy of the bladder using an endoscope	12	11	$576.00	$47.48
52240 Destruction and/or removal of large growth of bladder using an endoscope	11	11	$1588.00	$449.18

Medical Specialties & State Licenses

CMS Verified: 2026-07-23

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME72882

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2564980-00 (FL)

Hospital & Practice Group Affiliations

University Of Miami

1611 Nw 12th Ave E, Miami, FL 331361005

Phone: 9046973945

University Of Miami

1475 Nw 12th Ave C, Miami, FL 331361002

Phone: 3052436857

University Of Miami

1801 Nw 9th Ave 5th Flr, Miami, FL 331361125

University Of Miami

1601 Nw 12th Ave 1st Fl, Miami, FL 331361005

University Of Miami

1475 Nw 12th Ave Opd, Miami, FL 331361002

Phone: 9544938666

University Of Miami

8100 Sw 10th St 1st Flr, Plantation, FL 333243279

University Of Miami

1400 Nw 12th Ave E Bldg 4th Flr, Miami, FL 331361003

Phone: 3056895437

University Of Miami

1475 Nw 12th Ave 3rd Floor, Miami, FL 331361002

Phone: 3052438644

University Of Miami

1611 Nw 12 Ave, Miami, FL 331361005

University Of Miami

1601 Nw 12th Ave, Miami, FL 331361005

University Of Miami

1801 Nw 9th Ave 5th Fl, Miami, FL 331361125

University Of Miami

1400 Nw 12th Ave Icu, Miami, FL 331361003

Phone: 3052430783

University Of Miami

1611 Nw 12th Ave Jmh 5th Fl, Miami, FL 331361005

Phone: 3056897303

University Of Miami

1475 Nw 12th Ave 1st Flr, Miami, FL 331361002

University Of Miami

1611 Nw 12th Ave Acc E, Miami, FL 331361005

University Of Miami

8100 Sw 10th St Bldg, Plantation, FL 333243279

Phone: 3052435554

University Of Miami

1400 Nw 12th Ave 1st Flr, Miami, FL 331361003

University Of Miami

1400 Nw 12 Ave, Miami, FL 331361003

University Of Miami

8100 Sw 10th St Bldg 3, Plantation, FL 333243279

University Of Miami

1475 Nw 12th Ave, Miami, FL 331361002

University Of Miami

1601 Nw 12th Avenue 5065 /, Miami, FL 331361005

Phone: 3052436251

University Of Miami

1611 Nw 12th Ave N Wing, Miami, FL 331361005

University Of Miami

1475 Nw 12th, Miami, FL 331361002

Phone: 3052438434

University Of Miami

1400 Nw 12th Ave Ent-7, Miami, FL 331361003

Phone: 3053551684

University Of Miami

8100 Sw 10th St 1st Fl, Plantation, FL 333243279

University Of Miami

1601 Nw 12th Ave 1st Flr, Miami, FL 331361005

University Of Miami

4800 Ne 20th Ter, Fort Lauderdale, FL 333084510

University Of Miami

1475 Nw 12th Ave 1st Fl, Miami, FL 331361002

University Of Miami

1611 Nw 12th Ave-Nicu, Miami, FL 331361005

Phone: 3055471496

University Of Miami

1611 Nw 12th Ave 2nd Fl, Miami, FL 331361005

University Of Miami

1611 Nw 12th Ave Central, Miami, FL 331361005

University Of Miami

1611 Nw 12th Ave 5th Floor, Miami, FL 331361005

Phone: 3052434211

University Of Miami

1400 Nw 12th Ave Rm, Miami, FL 331361003

Phone: 9542101095

University Of Miami

1611 Nw 12th Ave Fl, Miami, FL 331361005

Phone: 3053555000

University Of Miami

1475 Nw 12th Ave Head And Neck Clinic, Miami, FL 331361002

Phone: 3055857890

University Of Miami

1611 Nw 12th Ave Acc E 2nd Flr, Miami, FL 331361005

University Of Miami

4800 Ne 20th Terrace, Fort Lauderdale, FL 333084510

Phone: 3052433440

University Of Miami

1400 Nw 12th Ave East, Miami, FL 331361003

Phone: 3052433371

University Of Miami

1400 Nw 12th Ave Mob, Miami, FL 331361003

Phone: 3052432020

University Of Miami

1611 Nw 12th Ave Acc W, Miami, FL 331361005

University Of Miami

1475 Nw 12th Ave 4th Flr Stem Cell, Miami, FL 331361002

Phone: 9548312763

University Of Miami

1400 Nw 12th Ave Hematology Consult, Miami, FL 331361003

Phone: 3056892023

University Of Miami

1611 Nw 12th Ave Dtc 1st Flr, Miami, FL 331361005

Phone: 3055856970

University Of Miami

1611 Nw 12th Ave Acc West, Miami, FL 331361005

University Of Miami

1611 Nw 12 Th Ave, Miami, FL 331361005

Phone: 3053555000

University Of Miami

1601 Nw 12th Ave Room, Miami, FL 331361005

Phone: 3055855635

University Of Miami

1400 Nw 12th Ave 5th Flr Sicu, Miami, FL 331361003

Phone: 3053555241

University Of Miami

1475 Nw 12th Ave Courtelis Ctr, Miami, FL 331361002

Phone: 3052436387

University Of Miami

1150 Nw 14th St, Miami, FL 331362115

Phone: 3052433100

University Of Miami

1400 Nw 12th Ave 1st Flr Gi Ctr, Miami, FL 331361003

Phone: 3052434598

University Of Miami

1611 Nw 12th Ave Jmh, Miami, FL 331361005

University Of Miami

1400 Nw 12th Ave E, Miami, FL 331361003

University Of Miami

1611 Nw 12th, Miami, FL 331361005

Phone: 3055857476

University Of Miami

1400 Nw 12th Ave 1st Fl, Miami, FL 331361003

University Of Miami

8100 Sw 10th St, Plantation, FL 333243279

University Of Miami

1489 W Palmetto Park Rd, Boca Raton, FL 334863326

Phone: 3052433100

University Of Miami

1611 Nw 12th Ave 2nd Flr, Miami, FL 331361005

Secondary Practice Locations

1489 W Palmetto Park Rd

Boca Raton, FL 334863325

Phone: 3052436090

8100 Sw 10th St

Plantation, FL 333243279

Phone: 3052436090

1475 Nw 12th Ave

Miami, FL 331361002

Phone: 3052436090

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. Puneet Masson , MD

Urology

NPI 1023277704

Doctor of Medicine (M.D.)

Carole Lahana , ARNP

Nurse Practitioner

NPI 1023520418

Advanced Registered Nurse Practitioner

Jazmin Navarro , NP

Nurse Practitioner - Family

NPI 1053071183

Nurse Practitioner

Natasha Tonti , APRN

Nurse Practitioner - Family

NPI 1114880515

Advanced Practice Registered Nurse

Jessiel Rodriguez , NP

Nurse Practitioner - Family

NPI 1124698238

Nurse Practitioner

Dr. Maria Mir Maresma , MD

Urology

NPI 1154609782

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 23, 2026

Registered at 1150 NW 14TH ST STE 309, MIAMI, FL 331362114 (Tel: 3052436090)

📍

Updated Business Mailing Address July 23, 2026

Registered at 1150 NW 14TH ST STE 309, MIAMI, FL 331362114 (Tel: 3052436090)

✅

NPI Profile Active February 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2013

Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 3052436391)

📍

Updated Business Mailing Address February 08, 2013

Registered at 1611 NW 12 AVE, MIAMI, FL 331016960 (Tel: 3052436391)

👤

Provider Name / Credentials Updated February 08, 2013

Recorded as BRUCE KAVA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2013

Urology (License #ME72882 in FL)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265461826

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: July 23, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1150 Nw 14th St Ste 309

Miami, FL 331362114

Phone: 3052436090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.