Healthcare Provider Details

I. General information

NPI: 1043092539
Provider Name (Legal Business Name): ORANGE DOCTORS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 SW 8TH ST STE 150
CORAL GABLES FL
33134-2300
US

IV. Provider business mailing address

5200 SW 8TH ST STE 150
CORAL GABLES FL
33134-2300
US

V. Phone/Fax

Practice location:
  • Phone: 305-250-5600
  • Fax:
Mailing address:
  • Phone: 305-250-5600
  • Fax: 305-250-5688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLOS VERA
Title or Position: OWNER
Credential:
Phone: 305-250-5600