ACTIVE MEDICAL SERVICES LLC NPI 1790563575

NPI Information

  • NPI: 1790563575
  • Provider Name: ACTIVE MEDICAL SERVICES LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 909 N MIAMI BEACH BLVD STE 403
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Phone: (305) 940-3506

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NPI Details

ACTIVE MEDICAL SERVICES LLC is a family nurse practitioner in North Miami Beach, FL. ACTIVE MEDICAL SERVICES LLC NPI is 1790563575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

909 N MIAMI BEACH BLVD STE 403
NORTH MIAMI BEACH, FL
ZIP 33162-712
Phone: (305) 940-3506

The provider's authorized official is Natalia Kogan .
The authorized official title is Np and has the following contact phone number (954) 544-6124.

The enumeration date for this NPI number is 9/21/2023 and was last updated on 9/21/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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

NPI Synchronization or Removal

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