MEDICARE: NAVARRO MEDICAL CENTERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1346116613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVARRO MEDICAL CENTERS LLC

Provider Business Mailing Address
First Line	:	9611 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6985 WALLACE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5238
Country	:	US
Telephone Number	:	407-505-4445
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MD
Name	:	ANIEL NAVARRO MARIN
Credential	:
Telephone Number	:	786-332-4577

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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