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CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER LLC NPI 1114294097


NPI Information

NPI: 1114294097
Provider Name: CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1433 NW 13TH TER
MIAMI, FL
ZIP 33125
Phone: (305) 324-7900
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CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, 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 CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, LLC NPI is 1114294097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1433 NW 13TH TER
MIAMI, FL
ZIP 33125-607
Phone: (305) 324-7900

The provider's authorized official is Robert Thorne .
The authorized official title is Owner and has the following contact phone number (305) 324-7900.

The enumeration date for this NPI number is 11/21/2011 and was last updated on 11/21/2011.


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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