South Florida Multi-Specialty Medical Group LLC
Clinic/Center, Multi-Specialty in Coral Gables, FL. Organization (NPI-2).
NPI number1982204616
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1982204616
- Entity type
- Organization (NPI-2)
- Legal business name
- South Florida Multi-Specialty Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Practice location
475 Biltmore Way Ste 205Coral Gables, FL 33134-5736
Phone 833-735-3668 · Fax 866-897-7014
Mailing address
8950 Sw 74th Ct Ste 1408Miami, FL 33156-3173
Phone 833-735-3668 · Fax 866-897-7014
Authorized official
Peter Hany Hanna
Owner/Ceo
9739001198
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