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FAMILY MEDICAL CLINIC NM LLC NPI 1578169710


NPI Information

NPI: 1578169710
Provider Name: FAMILY MEDICAL CLINIC NM LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2234920

Address:
11077 BISCAYNE BLVD STE 303
MIAMI, FL
ZIP 33161
Phone: (786) 796-5010
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FAMILY MEDICAL CLINIC NM LLC 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 FAMILY MEDICAL CLINIC NM LLC NPI is 1578169710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11077 BISCAYNE BLVD STE 303
MIAMI, FL
ZIP 33161-498
Phone: (786) 796-5010

The provider's authorized official is Lizsandra Rodriguez .
The authorized official title is President and has the following contact phone number (305) 603-7824.

The CLIA number assigned to this NPI record is 10D2234920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 1/6/2021.


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 PracticeYes

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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