La Dorada LLC
Family Medicine in Miami, FL. Organization (NPI-2).
NPI number1104771369
StatusActive
Last updated in NPPESMar 3, 2026
Details
- NPI
- 1104771369
- Entity type
- Organization (NPI-2)
- Legal business name
- La Dorada LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2026
- Certification date
- Mar 3, 2026
- Last updated
- Mar 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
11880 Sw 40th St Ste 309Miami, FL 33175-3574
Phone 305-224-2290
Mailing address
11880 Sw 40th St Ste 309Miami, FL 33175-3574
Authorized official
Danisleydi Camacho Lopez
Owner
3052242290
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