Healthcare Provider Details

I. General information

NPI: 1801661640
Provider Name (Legal Business Name): MIAMI MEDICAL UNITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST STE 801
AVENTURA FL
33180-1269
US

IV. Provider business mailing address

1060 BRICKELL AVE # U3305
MIAMI FL
33131-3915
US

V. Phone/Fax

Practice location:
  • Phone: 800-369-3556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN HESS
Title or Position: OWNER/MANAGER
Credential: DO
Phone: 610-304-7039