Healthcare Provider Details

I. General information

NPI: 1467808527
Provider Name (Legal Business Name): RRR HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD STE 710
MIAMI BEACH FL
33140-4557
US

IV. Provider business mailing address

4308 ALTON RD STE 710
MIAMI BEACH FL
33140-4557
US

V. Phone/Fax

Practice location:
  • Phone: 305-367-7777
  • Fax: 305-695-7707
Mailing address:
  • Phone: 305-367-7777
  • Fax: 305-695-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPO3525
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberFD0432067
License Number StateFL

VIII. Authorized Official

Name: ALLISON GUYEN
Title or Position: MGR PARTNER
Credential: DPM
Phone: 305-695-7777