LOYALTY MEDICAL CENTER INC NPI 1710384805

NPI Information

NPI: 1710384805
Provider Name: LOYALTY MEDICAL CENTER INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3900 NW 79TH AVE
SUITE 591
DORAL, FL
ZIP 33166
Phone: (786) 397-1342
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LOYALTY MEDICAL CENTER INC is a health service clinic center in Doral, FL. LOYALTY MEDICAL CENTER INC NPI is 1710384805. The provider is registered as an organization entity type.

The provider's business location address is:

3900 NW 79TH AVE
SUITE 591
DORAL, FL
ZIP 33166-556
Phone: (786) 397-1342
Fax: (305) 397-2301

The provider's authorized official is Mario Alberto Jimenez .
The authorized official title is Medical Director and has the following contact phone number (786) 397-1342.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.

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	ME114414	FLORIDA	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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