MY FAMILY DOCTOR, PA
NPI 1184115263
General Practice in Miami, FL

Active since May 23, 2018CLIA 10D2176718 · Waiver
111 NW 183RD ST STE 306, MIAMI, FL 33169(305) 705-6688 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Family Doctor, Pa NPPES

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

MY FAMILY DOCTOR, PA (NPI 1184115263) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Arnika Renee Jackson, President/office Manager, as its authorized official.

NPPES Registry Identity

NPI1184115263
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMY FAMILY DOCTOR, PA
Location Address111 NW 183RD ST STE 306Miami, FL 33169-4599
Mailing Address111 Nw 183rd St Ste 306Miami, FL 33169-4599 · (305) 705-6688
Organization SubpartNo
Authorized OfficialArnika Renee JacksonPresident/office Manager · (305) 705-6688
Enumeration DateMay 23, 2018
NPI 1184115263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME37656
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
111 NW 183RD ST STE 306, Miami, FL 33169

Other Identifiers 1

Medicaid1184607541FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D2176718

My Family Doctor, PA · Miami, FL
Active · expires Dec 22, 2027
CLIA Number10D2176718
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJohn Jackson
Laboratory Phone(305) 705-6688
Laboratory LocationMy Family Doctor, PA111 NW 183rd St Ste 306, Miami, FL 33169
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

General Practice
111 NW 183RD ST STE 306
MIAMI, FL 33169

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 My Family Doctor, PA's NPI number?

The NPI number for My Family Doctor, PA is 1184115263. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is My Family Doctor, PA located?

My Family Doctor, PA is located at 111 NW 183rd St Ste 306, Miami, FL 33169. The listed phone number is (305) 705-6688.

What is My Family Doctor, PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does My Family Doctor, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2176718) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Family Doctor, PA was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.