Healthcare Provider Details

I. General information

NPI: 1881510774
Provider Name (Legal Business Name): THE MEDICAL DOCTOR COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE STE 803
MIAMI FL
33133-4223
US

IV. Provider business mailing address

3661 S MIAMI AVE STE 803
MIAMI FL
33133-4223
US

V. Phone/Fax

Practice location:
  • Phone: 786-600-4733
  • Fax:
Mailing address:
  • Phone: 786-600-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN YU
Title or Position: AMBR
Credential:
Phone: 786-600-4733