Healthcare Provider Details

I. General information

NPI: 1134629389
Provider Name (Legal Business Name): MEDRITE 41 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 W 41ST ST
MIAMI BEACH FL
33140-3510
US

IV. Provider business mailing address

PO BOX 380
MONSEY NY
10952-0380
US

V. Phone/Fax

Practice location:
  • Phone: 305-397-8417
  • Fax:
Mailing address:
  • Phone: 212-935-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FAYE FERENCZ
Title or Position: OWNER
Credential:
Phone: 212-734-6621