Organization · Type 2 NPI

Med-Source Group Llc.

Point of Service · Miami Lakes, FL

NPI number 1114304144 Active

Practice location

15476 NW 77th Ct
Miami Lakes, FL 33016-5823

Call (786) 443-0873 Map

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1114304144

Med-Source Group Llc.'s National Provider Identifier is 1114304144, issued on Apr 28, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Miami Lakes, FL. The record was last updated on Apr 28, 2015.