Miami Beach Medical Consultants, LLC.
General Practice in Temple Terrace, FL. Organization (NPI-2).
NPI number1194431908
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1194431908
- Entity type
- Organization (NPI-2)
- Legal business name
- Miami Beach Medical Consultants, LLC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2023
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Clinical Care Medical Centers (Doing Business As)
Practice location
11531 N 56th St # 103Temple Terrace, FL 33617-2238
Phone 813-999-4963
Mailing address
1400 Nw 107th Ave Ste 500Sweetwater, FL 33172-2746
Phone 305-534-0076
Authorized official
Jose D Suarez
Cmo
3055340076
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