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GROUP MEDICAL CLINIC INC NPI 1710321252


NPI Information

NPI: 1710321252
Provider Name: GROUP MEDICAL CLINIC INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
540 NW 165TH ST STE 302
MIAMI, FL
ZIP 33169
Phone: (305) 603-9636
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GROUP MEDICAL CLINIC INC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GROUP MEDICAL CLINIC INC NPI is 1710321252. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

540 NW 165TH ST STE 302
MIAMI, FL
ZIP 33169-304
Phone: (305) 603-9636

The provider's authorized official is Fausto P Astillo .
The authorized official title is President and has the following contact phone number (305) 603-9636.

The enumeration date for this NPI number is 4/27/2013 and was last updated on 4/27/2013.


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
1208D00000XGeneral PracticeYes

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

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