Medverse Clinic
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry in Miami, FL. Organization (NPI-2).
NPI number1619703691
StatusActive
Last updated in NPPESApr 2, 2025
Details
- NPI
- 1619703691
- Entity type
- Organization (NPI-2)
- Legal business name
- Medverse Clinic
- Organization subpart
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Apr 2, 2025
- Last updated
- Apr 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
6850 Coral Way Fl 3Miami, FL 33155-1758
Phone 305-265-4441 · Fax 305-265-4844
Mailing address
6850 Sw 24th St Fl 3Miami, FL 33155-1758
Phone 305-859-0569
Authorized official
Keila Hoover
Owner
3054337419
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