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CHANGE MEDICAL INSTITUTE NPI 1023263266


NPI Information

NPI: 1023263266
Provider Name: CHANGE MEDICAL INSTITUTE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1830 NW 7TH ST
SUITE 230
MIAMI, FL
ZIP 33125
Phone: (786) 970-4674
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CHANGE MEDICAL INSTITUTE is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHANGE MEDICAL INSTITUTE NPI is 1023263266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 NW 7TH ST
SUITE 230
MIAMI, FL
ZIP 33125-569
Phone: (786) 970-4674

The provider's authorized official is Juan Julio Hernandez Pombo .
The authorized official title is Administrator and has the following contact phone number (786) 970-4674.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeME84722FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D77099MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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