PREMIER OBGYN OF SOUTH FLORIDA PLLC
NPI 1407372840
Specialist in Miami Lakes, FL

Active since August 17, 2017CLIA 10D1092733 · Waiver
8145 NW 155TH ST STE B, MIAMI LAKES, FL 33016(305) 698-5300(305) 698-5302 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 17, 2017 (2 updates tracked since 2017).

About Premier Obgyn Of South Florida Pllc NPPES

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

PREMIER OBGYN OF SOUTH FLORIDA PLLC (NPI 1407372840) is a healthcare organization registered as a specialist in Miami Lakes, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Jorge Pando, Owner, as its authorized official.

NPPES Registry Identity

NPI1407372840
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER OBGYN OF SOUTH FLORIDA PLLC
Location Address8145 NW 155TH ST STE BMiami Lakes, FL 33016-5872
Mailing Address8145 Nw 155th St Ste BMiami Lakes, FL 33016-5872 · (305) 698-5300
Fax(305) 698-5302
Organization SubpartNo
Authorized OfficialJorge PandoOwner · (305) 698-5300
Enumeration DateAugust 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1407372840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8145 NW 155TH ST STE B, Miami Lakes, FL 33016

Other Identifiers 1

Medicaid000165000FL

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 10D1092733

Premier Ob Gyn Of Florida PLLC · Miami Lakes, FL
Active · expires Dec 2, 2026
CLIA Number10D1092733
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorJorge Pando
Laboratory Phone(305) 698-5300
Laboratory LocationPremier Ob Gyn Of Florida PLLC8145 NW 155th St Ste B, Miami Lakes, FL 33016
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner (Family)
8145 NW 155TH ST STE B
MIAMI LAKES, FL 33016

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 Premier Obgyn Of South Florida PLLC's NPI number?

The NPI number for Premier Obgyn Of South Florida PLLC is 1407372840. It was assigned to this organization in the NPPES registry on August 17, 2017.

Where is Premier Obgyn Of South Florida PLLC located?

Premier Obgyn Of South Florida PLLC is located at 8145 NW 155th St Ste B, Miami Lakes, FL 33016. The listed phone number is (305) 698-5300.

What is Premier Obgyn Of South Florida PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Premier Obgyn Of South Florida PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1092733) is associated with this NPI, valid through December 2, 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 Premier Obgyn Of South Florida PLLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.