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PROFESSIONAL CARE MEDICAL CENTER NPI 1366757122


NPI Information

NPI: 1366757122
Provider Name: PROFESSIONAL CARE MEDICAL CENTER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4790 NW 7TH ST
STE 104
MIAMI, FL
ZIP 33126
Phone: (305) 648-3803
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PROFESSIONAL CARE MEDICAL CENTER 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 PROFESSIONAL CARE MEDICAL CENTER NPI is 1366757122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4790 NW 7TH ST
STE 104
MIAMI, FL
ZIP 33126-200
Phone: (305) 648-3803
Fax: (305) 648-3806

The provider's authorized official is Liansy Valera .
The authorized official title is President and has the following contact phone number (305) 648-3803.

The enumeration date for this NPI number is 8/17/2010 and was last updated on 8/17/2010.


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 PracticeHCC8824FLORIDAYes

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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