PERSONALIZED MEDICINE INSTITUTE, LLC.
NPI 1376011551
Internal Medicine - Cardiovascular Disease in Davie, FL

Q: What is Personalized Medicine Institute, LLC.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 06, 2018

4765 SW 148TH AVE STE 404, DAVIE, FL 33330(203) 300-0147(954) 634-4293 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, Mar 28, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2018).

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About Personalized Medicine Institute, Llc. NPPES

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

PERSONALIZED MEDICINE INSTITUTE, LLC. (NPI 1376011551) is a healthcare organization registered as a cardiovascular disease in Davie, Florida and active in the NPI registry since November 2018. The organization lists Maximo Jose Fernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376011551

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePERSONALIZED MEDICINE INSTITUTE, LLC.

Location Address4765 SW 148TH AVE STE 404Davie, FL 33330-2128

Mailing Address4765 Volunteer Rd Ste 404Davie, FL 33330-2128 · (954) 374-7545 · Fax (954) 374-7543

Phone(203) 300-0147

Fax(954) 634-4293

Organization SubpartNo

Authorized OfficialMaximo Jose FernandezCeo · (954) 552-7209

Enumeration DateNovember 6, 2018

Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1376011551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

4765 SW 148TH AVE STE 404, Davie, FL 33330

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Other Identifiers 1

OtherME107216FL · Internal Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Personalized Medicine Institute, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Personalized Medicine Institute, LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Maximo Fernandez, MD

Cardiovascular Disease (Cardiology)

NPI 1215119185

4765 VOLUNTEER RD STE 404
Davie, FL 33330

(954) 374-7545

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Personalized Medicine Institute, LLC.'s NPI number?

The NPI number for Personalized Medicine Institute, LLC. is 1376011551. It was assigned to this organization in the NPPES registry on November 6, 2018.

Where is Personalized Medicine Institute, LLC. located?

Personalized Medicine Institute, LLC. is located at 4765 SW 148th Ave Ste 404, Davie, FL 33330. The listed phone number is (203) 300-0147.

What is Personalized Medicine Institute, LLC.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Personalized Medicine Institute, LLC. enrolled in Medicare?

Yes. Personalized Medicine Institute, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personalized Medicine Institute, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Personalized Medicine Institute, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Personalized Medicine Institute, LLC. accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Personalized Medicine Institute, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Personalized Medicine Institute, LLC. was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.