Organization · Type 2 NPI
Provena Care LLC
Primary Care Clinic/Center · Miami, FL
NPI number
1124840962
Active
Practice location
10251 SW 72nd St Ste 106
Miami, FL 33173-2957
Fax (786) 883-9691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1124840962
Provena Care LLC's National Provider Identifier is 1124840962, issued on Oct 31, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Miami, FL. The record was last updated on Oct 19, 2026.