Healthcare Provider Details

I. General information

NPI: 1396431052
Provider Name (Legal Business Name): PARAJON PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 SW 107TH AVE STE 301C
MIAMI FL
33174-2541
US

IV. Provider business mailing address

1405 SW 107TH AVE STE 301C
MIAMI FL
33174-2541
US

V. Phone/Fax

Practice location:
  • Phone: 305-785-0177
  • Fax:
Mailing address:
  • Phone: 786-536-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROMMEL PARAJON
Title or Position: OWNER
Credential:
Phone: 305-582-8933