Healthcare Provider Details

I. General information

NPI: 1356273296
Provider Name (Legal Business Name): ATLANTIC HEALTH MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 SW 123RD CT APT 401
MIAMI FL
33186-1988
US

IV. Provider business mailing address

8933 SW 123RD CT APT 401
MIAMI FL
33186-1988
US

V. Phone/Fax

Practice location:
  • Phone: 305-418-0580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MAYDELIN PEREZ
Title or Position: OWNER
Credential:
Phone: 305-418-0580