Healthcare Provider Details

I. General information

NPI: 1285025296
Provider Name (Legal Business Name): COMPASS MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 NE 125TH ST STE 206
NORTH MIAMI FL
33161-5832
US

IV. Provider business mailing address

1065 NE 125TH ST STE 300
NORTH MIAMI FL
33161-5833
US

V. Phone/Fax

Practice location:
  • Phone: 305-891-0050
  • Fax: 305-503-7363
Mailing address:
  • Phone: 888-852-6672
  • Fax: 305-503-7363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT SEGAL
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 305-891-0050