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MBOD LLC NPI 1710913066


NPI Information

NPI: 1710913066
Provider Name: MBOD LLC

Doing Business As: MBOD MEDICAL SPA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1717 N BAYSHORE DR
230
MIAMI, FL
ZIP 33132
Phone: (305) 374-7011
Get Directions

MBOD LLC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MBOD LLC NPI is 1710913066. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mbod Medical Spa.

The provider's business location address is:

1717 N BAYSHORE DR
230
MIAMI, FL
ZIP 33132-180
Phone: (305) 374-7011
Fax: (305) 675-2630

The provider's authorized official is Ghassan Edward Fahel .
The authorized official title is Medical Director and has the following contact phone number (305) 374-7011.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS7046FLORIDAYes

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

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