Organization · Type 2 NPI

Florida Medical Center Group, Inc.

Adolescent Medicine (Family Medicine) Physician · Miami, FL

NPI number 1396002929 Active

Practice location

1501 NW 36 St
Miami, FL 33142-9998

Fax (305) 907-5299

Mailing address

1501 NW 36th St
Miami, FL 33142-5559

Specialties and licenses

TaxonomyCodeLicense
Research Study Specialist 1744R1102XNone listed
Family Medicine Physician 207Q00000XNone listed
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000XNone listed
Adult Medicine Physician 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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About NPI 1396002929

Florida Medical Center Group, Inc.'s National Provider Identifier is 1396002929, issued on Apr 20, 2012. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Miami, FL. The record was last updated on Dec 31, 2018.