Healthcare Provider Details
I. General information
NPI: 1487453643
Provider Name (Legal Business Name): EMD CLINICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4960 SW 72ND AVE STE 405
MIAMI FL
33155-5506
US
IV. Provider business mailing address
4960 SW 72ND AVE STE 405
MIAMI FL
33155-5506
US
V. Phone/Fax
- Phone: 305-972-3590
- Fax:
- Phone: 305-972-3590
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSE
M
ARMAS
Title or Position: MANAGER
Credential: MD
Phone: 305-972-3590