Healthcare Provider Details

I. General information

NPI: 1629679402
Provider Name (Legal Business Name): P M GROUP FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 11/06/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1859 VAN BUREN ST
HOLLYWOOD FL
33020-5127
US

IV. Provider business mailing address

16470 NE 10TH AVE
NORTH MIAMI BEACH FL
33162-3710
US

V. Phone/Fax

Practice location:
  • Phone: 954-920-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT ENGLISH
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 305-651-9988