Healthcare Provider Details

I. General information

NPI: 1164343521
Provider Name (Legal Business Name): NAVARRO MEDICAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 BAYMEADOWS RD
JACKSONVILLE FL
32217-4604
US

IV. Provider business mailing address

9611 SW 40TH ST
MIAMI FL
33165-4030
US

V. Phone/Fax

Practice location:
  • Phone: 904-577-8115
  • Fax: 904-577-8842
Mailing address:
  • Phone: 786-332-4577
  • Fax: 786-332-4367

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: ANIEL NAVARRO MARIN
Title or Position: OWNER/ MEDICAL DIRECTOR
Credential: MD
Phone: 786-332-4577