Provider Demographics
NPI:1407801673
Name:MIAMI BEACH HEALTHCARE GROUP, LTD.
Entity type:Organization
Organization Name:MIAMI BEACH HEALTHCARE GROUP, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PANIRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-682-7000
Mailing Address - Street 1:20900 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1407
Mailing Address - Country:US
Mailing Address - Phone:305-682-7000
Mailing Address - Fax:305-682-7105
Practice Address - Street 1:20900 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1407
Practice Address - Country:US
Practice Address - Phone:305-682-7000
Practice Address - Fax:305-682-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015433400004Medicaid
FL012037500Medicaid
NY01565773Medicaid
GA435997800AMedicaid
FL279OtherBLUE CROSS
871838OtherAETNA
030351800OtherBLACK LUNG
FL000030920OtherHUMANA
20038OtherWELLCARE/STAYWELL
GA435997800AMedicaid
FL012037500Medicaid