Organization · Type 2 NPI

Mira Mace Medical Group PA

Family Medicine Physician · North Bethesda, MD

NPI number 1487532289 Active

Practice location

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679

Mailing address

1111B S Governors Ave Ste 39475
Dover, DE 19904-6903

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

18 other providers at this address

About NPI 1487532289

Mira Mace Medical Group PA's National Provider Identifier is 1487532289, issued on Aug 21, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in North Bethesda, MD. The record was last updated on Jun 3, 2026.