Organization · Type 2 NPI

Holly Medical Clinic LLC

Clinic/Center · Miami, FL

NPI number 1992594766 Active

Practice location

11880 SW 40th St Ste 402
Miami, FL 33175-3575

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
General Practice Physician 208D00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1992594766

Holly Medical Clinic LLC's National Provider Identifier is 1992594766, issued on May 6, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Miami, FL. The record was last updated on Oct 7, 2026.