Healthcare Provider Details

I. General information

NPI: 1255189619
Provider Name (Legal Business Name): DOCTORS GROUP MIAMI BEACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2024
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 ALTON RD
MIAMI BEACH FL
33140-2852
US

IV. Provider business mailing address

4445 ALTON RD
MIAMI BEACH FL
33140-2852
US

V. Phone/Fax

Practice location:
  • Phone: 305-815-0693
  • Fax: 954-771-2927
Mailing address:
  • Phone: 305-815-0693
  • Fax: 954-771-2927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROMERO ROMERO FISCHMANN
Title or Position: OWNER
Credential: M.D.
Phone: 305-815-0693