Healthcare Provider Details
I. General information
NPI: 1851512164
Provider Name (Legal Business Name): MIAMI BEACH MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 W 41ST ST
MIAMI BEACH FL
33140-3603
US
IV. Provider business mailing address
4960 SW 72ND AVE SUITE 406
MIAMI FL
33155-5544
US
V. Phone/Fax
- Phone: 305-535-1500
- Fax: 305-535-1514
- Phone: 305-662-5200
- Fax: 305-284-7948
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME44344 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
JOSE
J
ARMAS
Title or Position: PRESIDENT
Credential: MD
Phone: 305-662-5200