PERIDOT MEDICAL GROUP NPI 1457920308

NPI Information

  • NPI: 1457920308
  • Provider Name: PERIDOT MEDICAL GROUP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7374 SW 93RD AVE STE 202B
    MIAMI, FL
    ZIP 33173
  • Phone: (305) 551-0900

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NPI Details

PERIDOT MEDICAL GROUP is a primary care clinic center in Miami, FL. PERIDOT MEDICAL GROUP NPI is 1457920308. The provider is registered as an organization entity type.

The provider's business location address is:

7374 SW 93RD AVE STE 202B
MIAMI, FL
ZIP 33173-246
Phone: (305) 551-0900

The provider's authorized official is Ramon Leon .
The authorized official title is Medical Director and has the following contact phone number (305) 712-7777.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 1/8/2025.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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