LIVING WELL MEDICAL GROUP INC NPI 1477021574

NPI Information

NPI: 1477021574
Provider Name: LIVING WELL MEDICAL GROUP, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
344 W 65TH ST STE 201
HIALEAH, FL
ZIP 33012
Phone: (786) 216-5570
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LIVING WELL MEDICAL GROUP, INC is a mental health (including community mental health center) clinic center in Hialeah, FL. LIVING WELL MEDICAL GROUP, INC NPI is 1477021574. The provider is registered as an organization entity type.

The provider's business location address is:

344 W 65TH ST STE 201
HIALEAH, FL
ZIP 33012-719
Phone: (786) 216-5570

The provider's authorized official is Mairim Gonzalez .
The authorized official title is President and has the following contact phone number (786) 216-5570.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 1/16/2020.

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	261QH0100X	Clinic/Center	Health Service			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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

NPI Synchronization or Removal

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