Healthcare Provider Details

I. General information

NPI: 1114888237
Provider Name (Legal Business Name): HD MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15805 BISCAYNE BLVD STE 301-302
AVENTURA FL
33160-5375
US

IV. Provider business mailing address

15805 BISCAYNE BLVD STE 301-302
AVENTURA FL
33160-5375
US

V. Phone/Fax

Practice location:
  • Phone: 305-420-5664
  • Fax:
Mailing address:
  • Phone: 305-420-5664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HELEN DIAS
Title or Position: MANAGER
Credential: APRN
Phone: 786-319-6422