Healthcare Provider Details

I. General information

NPI: 1710813357
Provider Name (Legal Business Name): FUNCTIONAL FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3241 NW 7TH ST
MIAMI FL
33125-4139
US

IV. Provider business mailing address

3241 NW 7TH ST
MIAMI FL
33125-4139
US

V. Phone/Fax

Practice location:
  • Phone: 305-776-6552
  • Fax:
Mailing address:
  • Phone: 305-724-9095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROXANA SANCHEZ
Title or Position: MEDICAL DIRECTOR
Credential: APRN, FNP
Phone: 305-776-6552