MEDIGROUP OF DADE CORP NPI 1720400112

NPI Information

NPI: 1720400112
Provider Name: MEDIGROUP OF DADE CORP
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3383 NW 7TH ST STE 306
MIAMI, FL
ZIP 33125
Phone: (786) 212-1007
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MEDIGROUP OF DADE CORP is a health service clinic center in Miami, FL. MEDIGROUP OF DADE CORP NPI is 1720400112. The provider is registered as an organization entity type.

The provider's business location address is:

3383 NW 7TH ST STE 306
MIAMI, FL
ZIP 33125-140
Phone: (786) 212-1007
Fax: (786) 703-7142

The provider's authorized official is Humberto Martinez .
The authorized official title is President and has the following contact phone number (786) 212-1007.

The enumeration date for this NPI number is 1/20/2014 and was last updated on 3/12/2014.

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	HCC11032	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: 5/5/2024

NPI Synchronization or Removal

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