OrganizationActive
Versant Medical Center
NPI 1083016653 · Health Maintenance Organization · Miami, FL
Provider details
- NPI number
- 1083016653
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Johny Hawkins, President(786) 479-3305
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10404 West Flagler St Ste 15
Miami, FL 33174
Phone: (786) 479-3305
Street-level locationGet directions
Mailing address
10404 West Flagler St Ste 15
Miami, FL 33174
Registry dates
- Enumerated
- 2014-09-25
- Last updated
- 2014-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.