Organization · Type 2 NPI

Miami Medical & Wellness Center LLC

Adult Medicine Physician · Miami, FL

NPI number 1720456676 Active

Practice location

7500 SW 8th St, Suite 103
Miami, FL 33144-4400

Fax (305) 735-6471

Mailing address

1200 Alton Rd
Miami Beach, FL 33139-3810

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XME58111 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1720456676

Miami Medical & Wellness Center LLC's National Provider Identifier is 1720456676, issued on Sep 9, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Miami, FL. The record was last updated on Sep 10, 2015.