Organization · Type 2 NPI

Ponce Mediclub LLC

General Practice Physician · Miami, FL

NPI number 1902468523 Active

Practice location

9950 SW 107th Ave Ste 203
Miami, FL 33176-2767

Call (305) 908-3144 Map

Fax (407) 605-5129

Mailing address

11455 SW 40th St # 146
Miami, FL 33165-3311

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1902468523

Ponce Mediclub LLC's National Provider Identifier is 1902468523, issued on Jul 3, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miami, FL. The record was last updated on May 12, 2022.