MYL GROUP SERVICES CORP NPI 1265065528

NPI Information

  • NPI: 1265065528
  • Provider Name: MYL GROUP SERVICES CORP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 10D2231856
  • Address: 7480 FAIRWAY DR STE 208
    MIAMI LAKES, FL
    ZIP 33014
  • Phone: (669) 235-4347

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NPI Details

MYL GROUP SERVICES CORP is a family nurse practitioner in Miami Lakes, FL. MYL GROUP SERVICES CORP NPI is 1265065528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7480 FAIRWAY DR STE 208
MIAMI LAKES, FL
ZIP 33014-879
Phone: (669) 235-4347

The provider's authorized official is Luna Wahnon Benayoun .
The authorized official title is Family Arnp and has the following contact phone number (786) 985-0685.

The CLIA number assigned to this NPI record is 10D2231856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2020 and was last updated on 11/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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