Healthcare Provider Details

I. General information

NPI: 1750226460
Provider Name (Legal Business Name): ALAMEDDINE PROFESSIONAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 SW 37TH AVE STE 603
MIAMI FL
33133-2745
US

IV. Provider business mailing address

2645 SW 37TH AVE STE 603
MIAMI FL
33133-2745
US

V. Phone/Fax

Practice location:
  • Phone: 786-540-0771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KHALED ALAMEDDINE
Title or Position: PRESIDENT
Credential: MD
Phone: 872-985-3856