PERSONAL CARE MEDICAL GROUP LLC NPI 1992027486

NPI Information

NPI: 1992027486
Provider Name: PERSONAL CARE MEDICAL GROUP LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D2041346

Address:
1 NE 167 STREET
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 432-9565
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PERSONAL CARE MEDICAL GROUP LLC is a health service clinic center in North Miami Beach, FL. PERSONAL CARE MEDICAL GROUP LLC NPI is 1992027486. The provider is registered as an organization entity type.

The provider's business location address is:

1 NE 167 STREET
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 432-9565
Fax: (305) 432-9567

The provider's authorized official is Robbie Chamoun .
The authorized official title is Owner and has the following contact phone number (786) 317-2377.

The CLIA number assigned to this NPI record is 10D2041346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 1/22/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service		FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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