MIAMI LAKES MED SPA LLC NPI 1861264939

NPI Information

  • NPI: 1861264939
  • Provider Name: MIAMI LAKES MED SPA LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7980 NW 155TH ST STE A
    MIAMI LAKES, FL
    ZIP 33016
  • Phone: (305) 418-0392

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NPI Details

MIAMI LAKES MED SPA LLC is a primary care clinic center in Miami Lakes, FL. MIAMI LAKES MED SPA LLC NPI is 1861264939. The provider is registered as an organization entity type.

The provider's business location address is:

7980 NW 155TH ST STE A
MIAMI LAKES, FL
ZIP 33016-884
Phone: (305) 418-0392
Fax: (305) 998-1456

The provider's authorized official is Armando Gonzalez .
The authorized official title is Owner and has the following contact phone number (786) 873-1248.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/23/2023.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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