Healthcare Provider Details

I. General information

NPI: 1083521637
Provider Name (Legal Business Name): TRIBEHEALTH MEDICAL GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 BRICKELL AVE APT 1108
MIAMI FL
33129-1264
US

IV. Provider business mailing address

382 NE 191ST ST STE 51326
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 305-417-8222
  • Fax: 800-886-1408
Mailing address:
  • Phone: 305-417-8222
  • Fax: 800-886-1408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TOCCO
Title or Position: OWNER
Credential: MD
Phone: 305-417-8222