PROFESSIONAL MEDICAL PRACTICE NPI 1447618442

NPI Information

NPI: 1447618442
Provider Name: PROFESSIONAL MEDICAL PRACTICE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
11246 SW 137TH AVE STE 202A
MIAMI, FL
ZIP 33186
Phone: (786) 631-5999
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PROFESSIONAL MEDICAL PRACTICE is an adult day care clinic center in Miami, FL. PROFESSIONAL MEDICAL PRACTICE NPI is 1447618442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11246 SW 137TH AVE STE 202A
MIAMI, FL
ZIP 33186-201
Phone: (786) 631-5999
Fax: (786) 362-5244

The provider's authorized official is Yanet Rodriguez .
The authorized official title is President and has the following contact phone number (305) 821-1613.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 1/26/2023.

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	208D00000X	General Practice		HCC10584	FLORIDA	No
2	225100000X	Physical Therapist		HCC10584	FLORIDA	No
3	261Q00000X	Clinic/Center				No
4	261QA0600X	Clinic/Center	Adult Day Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	261QA0600X	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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