Organization · NPI-2
7th Avenue Medical Plaza LLC
Family Medicine · Miami, FL
NPI number1851974588
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1851974588
- Entity type
- Organization (NPI-2)
- Legal business name
- 7th Avenue Medical Plaza LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2021
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
10071 Nw 7th AveMiami, FL 33150-1348
Phone 305-403-7777 · Fax 305-403-7700
Mailing address
300 S Pine Island Rd Ste 238Plantation, FL 33324-2631
Phone 542-365-5119
Authorized official
Cristian Breton
Owner / Sole Member
3056704424
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