Florida International University Board of Trustees
NPI 1598070849 · Family Medicine Physician · Miami, FL
Provider details
- NPI number
- 1598070849
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Jessell, Fiu Chief Financial Officer and Sen(305) 348-2101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Gynecologic Oncology Physician207VX0201X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 1600 S Andrews Ave Ste 1090Ft Lauderdale, FL 33316-2510Phone: (954) 523-2727Fax: (954) 523-8814
- 1611 Nw 12th AveMiami, FL 33136-1005Phone: (305) 348-3726
- 11200 Sw 8th St # 2693Miami, FL 33199-0001Phone: (305) 348-3627Fax: (305) 348-4261
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2022-08-04
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.