Healthcare Provider Details

I. General information

NPI: 1699647800
Provider Name (Legal Business Name): GUARANTEED HEALTH MEDICAL GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 BISCAYNE BLVD
NORTH MIAMI FL
33181
US

IV. Provider business mailing address

1221 BRICKELL AVE STE 900
MIAMI FL
33131-3800
US

V. Phone/Fax

Practice location:
  • Phone: 917-728-6951
  • Fax:
Mailing address:
  • Phone: 917-728-6951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SINA HAERI
Title or Position: OWNER
Credential: MD
Phone: 410-814-1872