Organization · Type 2 NPI

Portilla Medical Group LLC

Multi-Specialty Clinic/Center · Miami, FL

NPI number 1124467717 Active

Practice location

330 SW 27th Ave, Ste 302
Miami, FL 33135-2961

Fax (305) 631-1251

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1124467717

Portilla Medical Group LLC's National Provider Identifier is 1124467717, issued on Jun 18, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Miami, FL. The record was last updated on Sep 11, 2014.