SAGE PEDIATRICS PA NPI 1710147533

NPI Information

  • NPI: 1710147533
  • Provider Name: SAGE PEDIATRICS PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D1035955
  • Address: 1990 NE 163RD ST
    SUITE # 101
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Phone: (305) 949-1275

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NPI Details

SAGE PEDIATRICS PA is a primary care clinic center in North Miami Beach, FL. SAGE PEDIATRICS PA NPI is 1710147533. The provider is registered as an organization entity type.

The provider's business location address is:

1990 NE 163RD ST
SUITE # 101
NORTH MIAMI BEACH, FL
ZIP 33162-854
Phone: (305) 949-1275
Fax: (305) 949-1273

The provider's authorized official is Olakunle T Olagbemi .
The authorized official title is President and has the following contact phone number (305) 949-1275.

The CLIA number assigned to this NPI record is 10D1035955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME 71575FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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