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MIAMI DADE COMMUNITY MEDICAL GROUPCORP. NPI 1649629668


NPI Information

NPI: 1649629668
Provider Name: MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1901 SW 1ST ST
SUITE 208
MIAMI, FL
ZIP 33135
Phone: (305) 763-2384
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MIAMI DADE COMMUNITY MEDICAL GROUP,CORP. is a multi-specialty clinic center in Miami, FL. MIAMI DADE COMMUNITY MEDICAL GROUP,CORP. NPI is 1649629668. The provider is registered as an organization entity type.

The provider's business location address is:

1901 SW 1ST ST
SUITE 208
MIAMI, FL
ZIP 33135-601
Phone: (305) 763-2384
Fax: (877) 889-1801

The provider's authorized official is Celia Z Padron .
The authorized official title is President and has the following contact phone number (856) 534-5819.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.


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
1261QH0100XClinic/CenterHealth ServiceNo
2261QP2300XClinic/CenterPrimary CareNo
3261QR1100XClinic/CenterResearchNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.