Healthcare Provider Details

I. General information

NPI: 1720656929
Provider Name (Legal Business Name): KATIE REMING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NW 12TH AVE
MIAMI FL
33136-1003
US

IV. Provider business mailing address

1150 NW 14TH ST STE 609
MIAMI FL
33136-2117
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6732
  • Fax:
Mailing address:
  • Phone: 305-243-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR-12229
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: