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PATAKY MEDICAL CENTER INC NPI 1114988151


NPI Information

NPI: 1114988151
Provider Name: PATAKY MEDICAL CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1043428

Address:
12781 SW 42ND ST
SUITE G
MIAMI, FL
ZIP 33175
Phone: (305) 553-2220
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PATAKY MEDICAL CENTER INC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PATAKY MEDICAL CENTER INC NPI is 1114988151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12781 SW 42ND ST
SUITE G
MIAMI, FL
ZIP 33175-437
Phone: (305) 553-2220
Fax: (305) 553-9753

The provider's authorized official is Carmen Zilia Oliva .
The authorized official title is President and has the following contact phone number (305) 553-2220.

The CLIA number assigned to this NPI record is 10D1043428 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 2/16/2016.


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 PracticeHCC10449FLORIDANo
2207Q00000XFamily MedicineHCC10449FLORIDAYes

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
1H96130MEDICARE UPIN
2K8416AOTHERFLORIDAPTAN

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: 11/14/2023

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