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SOUTHEAST PERINATAL ASSOCIATES, INC
NPI 1073289625
Obstetrics & Gynecology in Miramar, FL

Active since August 23, 2021CLIA 10D2014334 · Waiver
1901 SW 172ND AVE, MIRAMAR, FL 33029(877) 328-1119 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Perinatal Associates, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST PERINATAL ASSOCIATES, INC (NPI 1073289625) is a healthcare organization registered as an obstetrics & gynecology in Miramar, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1073289625
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHEAST PERINATAL ASSOCIATES, INC
Location Address1901 SW 172ND AVEMiramar, FL 33029-5592
Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Phone(877) 328-1119
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (877) 328-1119
Enumeration DateAugust 23, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1073289625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1901 SW 172ND AVE, Miramar, FL 33029
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2014334

Southeast Perinatal Associates · Miramar, FL
Active · expires Oct 5, 2026
CLIA Number10D2014334
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorDr. Jamie J. Rodriguez
Laboratory Phone(954) 431-7372
Laboratory LocationSoutheast Perinatal Associates1951 SW 172 Ave Ste 411, Miramar, FL 33029
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR JAMES COX MD
Anesthesiology
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-5000
EDWARD DE JESUS BOLANOS CAA
Anesthesiologist Assistant
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 838-2371
DR. DEANNA SOLOWAY-SIMON M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-5000
DR. THOMAS LEE LOGAN M.D.
Emergency Medicine (Emergency Medical Services)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-5000
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Anesthesiology (Pain Medicine)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (877) 328-1119
RICHARD T BAKER MD
Radiology (Diagnostic Radiology)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-4864
DR. SHARON B HERNANDEZ M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-5000
PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP
Pathology (Anatomic Pathology & Clinical Pathology)
1901 SW 172ND AVE
MIRAMAR, FL 33029
Broward County (954) 538-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Perinatal Associates, Inc's NPI number?

The NPI number for Southeast Perinatal Associates, Inc is 1073289625. It was assigned to this organization in the NPPES registry on August 23, 2021.

Where is Southeast Perinatal Associates, Inc located?

Southeast Perinatal Associates, Inc is located at 1901 SW 172nd Ave, Miramar, FL 33029. The listed phone number is (877) 328-1119.

What is Southeast Perinatal Associates, Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Southeast Perinatal Associates, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2014334) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Perinatal Associates, Inc was last updated on August 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.